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Dr. Leo Michael Michalek JR., MD
General Practice Physician in Hamburg, New York
NPI 1003801366

Leo Michael Michalek JR. is a General Practice Physician based in Hamburg, NY. Leo Michael Michalek JR. practices in Hamburg, NY and has the professional credentials of MD. The NPI Number for Leo Michael Michalek JR. is 1003801366 and holds a License No. 094920 (New York).

The current practice location address for Leo Michael Michalek JR. is 6946 E Eden Rd, Hamburg, NY and can be reached out via phone at 716-649-5180.

Location: 6946 E Eden Rd, Hamburg, NY, 14075-6408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003801366
Provider Name
Leo Michael Michalek JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6946 E Eden Rd, Hamburg, NY, 14075-6408
Phone Number
716-649-5180
Fax Number
Provider Enumeration Date
09/13/2005
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
00601643 05 NY
000505334001 01 BCBS
1700291 01 IHA
00010118401 01 UNIVERA
institution
Provider Business Practice Location Address Details
Address
6946 E Eden Rd
City
Hamburg
State
New York
Zip
14075-6408
Phone Number
716-649-5180
Fax Number
person
Provider Business Mailing Address Details
Address
6946 E Eden Rd
City
Hamburg
State
New York
Zip
14075-6408
Phone Number
716-649-5180
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
094920 (New York)
Definition
Definition to come...
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