Individual
MRS. MALLORY JANE SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16826 NEWBURGH RD, LIVONIA, MI 48154-1600
(734) 464-8400
(734) 464-9515
Mailing address
3021 BIRCH ROW DR APT 14, EAST LANSING, MI 48823-2295
(231) 675-7250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010628
MI
Other
Enumeration date
06/25/2021
Last updated
05/28/2025
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