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Search › Michigan › 207R00000X

Latisha Malcom, M.D

NPI 1114999430 · on the registry since 2006

Practice

Address
2700 Hamlin Blvd
Inkster, MI 48141
Phone
(313) 561-5100
Fax
(313) 565-0309
Organisation at this address
Western Wayne Pharmacy Llc
Western Wayne Family Health Centers
Western Wayne Family Health Centers
Western Wayne Family Health Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Additional practice sites

  • 6455 Gratiot Ave, Detroit, MI

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan