Individual
EMILY REYNOLDS MALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 LAKE MICHIGAN DR NW STE A, GRAND RAPIDS, MI 49534-4583
(616) 267-8225
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301504096
MI
Other
Enumeration date
03/23/2017
Last updated
08/03/2021
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