Search › Michigan › 363LP0200X
Mallory Jacober
NPI 1871200964 · on the registry since 2022
Practice
- Address
- 44201 Dequindre Rd Ste Ec
Troy, MI 48085 - Phone
- (248) 259-3088
- Organisation at this address
- Lana Kawa Md Pc
S. Pasternak, P.C.
Sharmavitality Pllc
Medical Service Company
Oakland Kidneycare PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 593
Additional practice sites
- 2440 Shawood St, Novi, MI
- 44199 Dequindre Rd Ste 502, Troy, MI
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 363L00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-03
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