| Nicole M Mallory, PA | |
|
28800 Ryan Rd, Warren, MI 48092-4272 | |
| (586) 573-6400 | |
| (586) 576-1918 |
| Full Name | Nicole M Mallory |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 28800 Ryan Rd, Warren, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578734844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601003330 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole M Mallory, PA 1431 Washington Blvd, Apt 1716, Detroit, MI 48226-1732 Ph: () - | Nicole M Mallory, PA 28800 Ryan Rd, Warren, MI 48092-4272 Ph: (586) 573-6400 |
Kerry Nathan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 31150 Hoover, Suite B, Warren, MI 48093 Phone: 586-983-3666 Fax: 586-983-3776 | |
Abdulilah Obeid, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000 | |
Laura Saylor, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 26000 Hoover Rd, Warren, MI 48089 Phone: 586-722-0707 | |
Irtiah Khan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 31150 Hoover Rd Ste B, Warren, MI 48093 Phone: 586-983-3666 | |
Christopher P Czata, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover, Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400 | |
Mr. Ryan Christopher Richardson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3771 E 10 Mile Rd, Warren, MI 48091 Phone: 877-897-7477 Fax: 877-755-1030 | |
Susan Wosik, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11900 E 12 Mile Rd Ste 100, Warren, MI 48093 Phone: 248-662-4110 Fax: 248-662-4120 |