Individual
DENNIS MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3126
(248) 858-6499
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3126
(248) 858-6499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301052200
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2788295
—
MI
Enumeration date
03/16/2006
Last updated
09/22/2010
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