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Alex Malloy, DO
Student in an Organized Health Care Education/Training Program in Mount Clemens, Michigan
NPI 1689297764

Alex Malloy is a Student in an Organized Health Care Education/Training Program based in Mount Clemens, MI. Alex Malloy practices in Mount Clemens, MI and has the professional credentials of DO. The NPI Number for Alex Malloy is 1689297764 and holds a License No. (Michigan).

The current practice location address for Alex Malloy is 1000 Harrington St, Mount Clemens, MI and can be reached out via phone at 586-790-9003.

Location: 1000 Harrington St, Mount Clemens, MI, 48043-2920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689297764
Provider Name
Alex Malloy
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1000 Harrington St, Mount Clemens, MI, 48043-2920
Phone Number
586-790-9003
Fax Number
Provider Enumeration Date
05/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Harrington St
City
Mount Clemens
State
Michigan
Zip
48043-2920
Phone Number
586-790-9003
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Harrington St
City
Mount Clemens
State
Michigan
Zip
48043-2920
Phone Number
586-790-9003
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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