Individual
MS. BETHANY E MALOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5200 STATE ST, SAGINAW, MI 48603-3713
(989) 793-4250
(989) 793-6880
Mailing address
4386 STATE ST, SAGINAW, MI 48603-4067
(989) 793-4250
(989) 793-6880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5601005127
MI
Other
Enumeration date
08/07/2007
Last updated
08/22/2022
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