Individual provider · Type 1 NPI
Mallory M. Radzik, FNP
Family Nurse Practitioner · Grosse Pointe, MI
NPI number
1659098036
Active
Practice location
17410 Mack Ave # 1147
Grosse Pointe, MI 48230-6228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704309438 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659098036
Mallory M. Radzik, FNP's National Provider Identifier is 1659098036, issued on Oct 26, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grosse Pointe, MI. The record was last updated on Jun 19, 2026.