National Provider Identifier
Gretchen Lynn Malikowski, M.D.
Gretchen Lynn Malikowski, M.D. is listed in the NPPES registry with a primary specialty of MOHS-Micrographic Surgery Physician in Buffalo, NY and a listed phone number of (716) 970-4140.
Profile Overview
- NPI
- 1720467194
- Provider Type
- Individual
- Primary Specialty
- MOHS-Micrographic Surgery Physician
- Enumeration Date
- May 19, 2015
- Last Updated
- October 28, 2020
Practice Location
- 353 Kenmore Ave Ste 2
- Buffalo, NY 14223-2925
Phone: (716) 970-4140
Mailing Address
- 4949 Main St
- Amherst, NY 14226-4013
Specialties
- MOHS-Micrographic Surgery Physician (207ND0101X)
- Dermatology Physician (207N00000X)
Full Record
- NPI
- 1720467194
- Entity Type
- Individual
- Last Name
- Malikowski
- First Name
- Gretchen
- Middle Name
- Lynn
- Credential
- M.D.
- Provider Other Last Name
- Deluke
- Provider Other First Name
- Gretchen
- Provider Other Middle Name
- Lynn
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4949 Main St
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-4013
- Mailing Country
- US
- Mailing Phone
- (716) 970-4140
- Practice Street Address
- 353 Kenmore Ave Ste 2
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14223-2925
- Practice Country
- US
- Practice Phone
- (716) 970-4140
- Enumeration Date
- May 19, 2015
- Last Updated
- October 28, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 28, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- MOHS-Micrographic Surgery Physician (207ND0101X), Dermatology Physician (207N00000X)