Dr LATISHA MONIQUE MALCOM MD is a female medical professional, specializing in Internal Medicine. She graduated in 1997 from Wayne State University School Of Medicine.
WESTERN WAYNE FAMILY HEALTH CENTERS
2700 HAMLIN BLVD
INKSTER
MI
481412206
Tel: 3135615100
| Npi | 1114999430 |
| Pac Id | 2466427547 |
| Professional Enrollment Id | I20040901000249 |
| Last Name | MALCOM |
| First Name | LATISHA |
| Middle Name | MONIQUE |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | PEDIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | PEDIATRIC MEDICINE |
| Organization Legal Name | WESTERN WAYNE FAMILY HEALTH CENTERS |
| Group Practice Pac Id | 4082617998 |
| Number Of Group Practice Members | 13 |
| Line 1 Street Address | 2700 HAMLIN BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | INKSTER |
| State | MI |
| Zip Code | 481412206 |
| Phone Number | 3135615100 |
| Hospital Affiliation Ccn 1 | 230142 |
| Hospital Affiliation Lbn 1 | BEAUMONT HOSPITAL - WAYNE |
| Hospital Affiliation Ccn 2 | 230020 |
| Hospital Affiliation Lbn 2 | BEAUMONT HOSPITAL - DEARBORN |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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