CRAIG MALLORY

SOUTHFIELD, MI
NPI1801329628
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601008170)
Enumeration Date2017-04-08
Last Update Date2017-04-08
Business Address
-- CRAIG MALLORY PA-C
16001 W 9 MILE RD
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-3137
Mailing Address
-- CRAIG MALLORY PA-C
PO BOX 100
ROYAL OAK, MI 48068-0100
Phone number: 248-849-3137
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