Individual
MALLORY ZUPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3634 W MARKET ST STE 104, FAIRLAWN, OH 44333-4539
(558) 829-8315
Mailing address
3634 W MARKET ST STE 104, FAIRLAWN, OH 44333-4539
(558) 829-8315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
Other
Enumeration date
05/27/2020
Last updated
02/12/2025
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