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Individual
MALLORY LYNN HUNT
Active
Individual
MALLORY LYNN HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
83795
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053765495
—
WI
Enumeration date
04/22/2016
Last updated
08/01/2024
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