SearchMichiganPhysician Assistant

Mallory Hudson

NPI 1679163984 · on the registry since 2021

Practice

Address
5839 W Maple Rd Ste 100
West Bloomfield, MI 48322
Phone
(248) 862-7221
Organisation at this address
Zoma Physical Therapy Pllc
Southeast Michigan Surgery Pllc
West Bloomfield Dermatology And Mohs Surgery, Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Additional practice sites

  • 5793 W Maple Rd Ste 147, West Bloomfield, MI

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-29

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