Individual
MR. ROBERT SCOTT MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
5790 CHERRYWOOD, #1703, WEST BLOOMFIELD, MI 48322-4518
(248) 977-0811
Mailing address
5790 CHERRYWOOD, #1703, WEST BLOOMFIELD, MI 48322-4518
(248) 977-0811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704169038
MI
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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