person
Mallory Martens, PA
Medical Physician Assistant in Grand Rapids, Michigan
NPI 1629433172

Mallory Martens is a Medical Physician Assistant based in Grand Rapids, MI and is specialized in Medical. Mallory Martens practices in Grand Rapids, MI and has the professional credentials of PA. The NPI Number for Mallory Martens is 1629433172 and holds a License No. 5601007638 (Michigan).

The current practice location address for Mallory Martens is 100 Michigan St Ne, Grand Rapids, MI and can be reached out via phone at 616-391-3431 and via fax at 616-391-2783.

Location: 100 Michigan St Ne, Grand Rapids, MI, 49503-2560
person
Provider Profile Details
NPI Number
1629433172
Provider Name
Mallory Martens
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
100 Michigan St Ne, Grand Rapids, MI, 49503-2560
Phone Number
616-391-3431
Fax Number
616-391-2783
Provider Enumeration Date
12/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Michigan St Ne
City
State
Zip
49503
Phone Number
616-391-3431
Fax Number
616-391-2783
person
Provider Business Mailing Address Details
Address
100 Michigan St Ne
City
State
Zip
49503
Phone Number
616-391-3431
Fax Number
616-391-2783
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601007638 (Michigan)
Definition
Definition to come...
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