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Individual
MR. MICHAEL PATRICK MALLIN
Active
Individual
MR. MICHAEL PATRICK MALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
7152242-8905
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD182712
OR
Other
Enumeration date
10/08/2008
Last updated
11/01/2022
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