Individual
DR. STEPHANIE MALLEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
213 GREENHILL AVE, SUITE B, WILMINGTON, DE 19805-1844
(302) 429-5870
(302) 429-9284
Mailing address
213 GREENHILL AVE, SUITE B, WILMINGTON, DE 19805-1844
(302) 429-5870
(302) 429-9284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10002065
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000090201
—
DE
Enumeration date
09/30/2006
Last updated
02/01/2023
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