Individual
JAMES MALLEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 MICHIGAN ST NE STE 6330, GRAND RAPIDS, MI 49503-2530
(800) 475-6236
Mailing address
35 MICHIGAN ST NE STE 6330, GRAND RAPIDS, MI 49503-2530
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301509236
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2018
Last updated
07/05/2023
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