Individual provider · Type 1 NPI

Mallory Kristen Suazo, MD

Student in an Organized Health Care Education/Training Program · Ann Arbor, MI

NPI number 1740962125 Active

Practice location

1000 Wall St
Ann Arbor, MI 48105-1986

Call (248) 767-6495 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351052212 (MI)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1740962125

Mallory Kristen Suazo, MD's National Provider Identifier is 1740962125, issued on Aug 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on Jun 10, 2025.