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Individual

DR. EDMOND MALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
650 STEWART RD, MONROE, MI 48162-4222
(734) 240-8430
Mailing address
650 STEWART RD, MONROE, MI 48162-4222

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5315087598
MI

Other

Enumeration date
06/30/2017
Last updated
06/30/2017
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