SearchMichigan363A00000X

Mallory Sheridan, PA-C

NPI 1245800937 · on the registry since 2021 · sole proprietor

Practice

Address
16826 Newburgh Rd
Livonia, MI 48154
Phone
(734) 464-8400
Fax
(734) 464-9515
Clinicians at this address
2

Additional practice sites

  • 416 S Creyts Rd, Lansing, MI

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-28

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