Individual provider · Type 1 NPI

Meara Malloy

Surgical Physician Assistant · Milwaukee, WI

NPI number 1487303707 Active

Practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Fax (414) 805-7388

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400X7046 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1487303707

Meara Malloy's National Provider Identifier is 1487303707, issued on Mar 23, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 25, 2022.