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Nicole Mallory, PA
NPI 1578734844 · on the registry since 2008 · sole proprietor
Practice
- Address
- 28800 Ryan Rd
Warren, MI 48092 - Phone
- (586) 573-6400
- Fax
- (586) 576-1918
- Organisation at this address
- Paul Petre Md Pc
Paul Petre Md Pc
Gary G. Gilyard Md Pc
University Orthopaedics
Dr L Reynolds Associates PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-03-17
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