Individual provider · Type 1 NPI

Mallory Hudson

Physician Assistant · West Bloomfield, MI

NPI number 1679163984 Active

Practice location

5839 W Maple Rd Ste 100
West Bloomfield, MI 48322-2278

Call (248) 862-7221 Map

Mailing address

39555 Orchard Hill Pl Ste 600
Novi, MI 48375-5381

Other practice locations

  • 5793 W Maple Rd Ste 147, West Bloomfield, MI 48322-4478 · (248) 862-7221

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X5601010568 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679163984

Mallory Hudson's National Provider Identifier is 1679163984, issued on Jan 20, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in West Bloomfield, MI. The record was last updated on Oct 29, 2025.