Provider Demographics
NPI:1790339430
Name:MALINSKI, RENEE MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:MICHELLE
Last Name:MALINSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13205 OLIN WOODS DR
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:MI
Mailing Address - Zip Code:49345-8427
Mailing Address - Country:US
Mailing Address - Phone:616-450-6972
Mailing Address - Fax:
Practice Address - Street 1:515 E DIVISION ST STE 125
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-1805
Practice Address - Country:US
Practice Address - Phone:616-863-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor