Individual
MALLORY BROSIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(734) 788-6117
Mailing address
4521 PARKSIDE BLVD, ALLEN PARK, MI 48101-3203
(734) 788-6117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301509408
MI
208M00000X
Hospitalist Physician
4301509408
MI
Other
Enumeration date
03/31/2020
Last updated
07/03/2023
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