person
Gerianne Lynn Malik, PAC
Medical Physician Assistant in Roseville, Michigan
NPI 1194814996

Gerianne Lynn Malik is a Medical Physician Assistant based in Roseville, MI and is specialized in Medical. Gerianne Lynn Malik practices in Roseville, MI and has the professional credentials of PAC. The NPI Number for Gerianne Lynn Malik is 1194814996 and holds a License No. 5601002957 (Michigan).

The current practice location address for Gerianne Lynn Malik is 18325 10 Mile Road, Roseville, MI and can be reached out via phone at 586-775-4594 and via fax at 586-775-4506.

Location: 18325 10 Mile Road, Roseville, MI, 48066-4990
person
Provider Profile Details
NPI Number
1194814996
Provider Name
Gerianne Lynn Malik
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
18325 10 Mile Road, Roseville, MI, 48066-4990
Phone Number
586-775-4594
Fax Number
586-775-4506
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
065 501 3610 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
18325 10 Mile Road
City
State
Zip
48066-4990
Phone Number
586-775-4594
Fax Number
586-775-4506
person
Provider Business Mailing Address Details
Address
18325 10 Mile Road
City
State
Zip
48066-4990
Phone Number
586-775-4594
Fax Number
586-775-4506
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601002957 (Michigan)
Definition
Definition to come...
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