profile image
Primary Practice Address
6455 GRATIOT AVE
DETROIT, MI 48207-1808 US
Accepts Medicare Payment

PECOS Enrolled

Latisha M Malcom

Internal Medicine Physician


Latisha M Malcom

Overview

Latisha M Malcom is a Internal Medicine Physician in the DETROIT area and has over 28 years of experience. Latisha M Malcom primary office location is at 6455 GRATIOT AVE and new patients are welcome to contact this healthcare provider for an appointment. She attended Wayne State University School Of Medicine and graduated 1997

Latisha M Malcom is affiliated with one hospital in the DETROIT area, BEAUMONT HOSPITAL - DEARBORN. The NPI number is 1114999430 and the information was updated approximately 14 years ago.

Latisha M Malcom is affiliated with one medical group in the DETROIT area, WESTERN WAYNE FAMILY HEALTH CENTERS.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
6455 GRATIOT AVE
DETROIT, MI 48207-1808 US
Phone: (313)-921-8600
Fax:
Practice Mailing Information
28801 PLYMOUTH RD
LIVONIA, MI 48207-1808 US
Phone: (734)-266-2780
Fax: (734)-466-9615
License Number State
4301070929 MI