Search › Michigan › 152W00000X
Jacquelyn Cosgrove Malleis, O.D
NPI 1568999332 · on the registry since 2017
Practice
- Address
- 2820 E Beltline Ln Ne
Grand Rapids, MI 49525 - Phone
- (616) 363-5413
- Organisation at this address
- Grand Rapids Eye Care 2820 Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- WA, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-30
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