Individual provider · Type 1 NPI
Mallory Martens, PA
Medical Physician Assistant · Grand Rapids, MI
NPI number
1629433172
Active
Practice location
100 Michigan St NE
Grand Rapids, MI 49503
Fax (616) 391-2783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601007638 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1629433172
Mallory Martens, PA's National Provider Identifier is 1629433172, issued on Dec 29, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 1, 2021.