Individual
GERIANNE LYNN MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
18325 10 MILE ROAD, SUITE 400, ROSEVILLE, MI 48066-4990
(586) 775-4594
(586) 775-4506
Mailing address
18325 10 MILE ROAD, SUITE 400, ROSEVILLE, MI 48066-4990
(586) 775-4594
(586) 775-4506
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002957
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065 501 3610
BCBS
MI
Enumeration date
10/12/2006
Last updated
01/21/2009
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