Individual
BARBARA O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-8555
(313) 745-9299
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5974
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
4301059705
MI
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
4301059705
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220F361370
BCBSM
MI
05
—
4334424
—
MI
Enumeration date
03/29/2006
Last updated
11/05/2013
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