Individual
DR. MARY MALAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
12001 COMMERCE RD, MILFORD, MI 48380-1201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301048259
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301048259
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103374757
—
MI
05
—
104298909
—
MI
05
—
104304917
—
MI
05
—
104357910
—
MI
01
—
MM048259
BC/BS OF MICHIGAN
MI
Enumeration date
05/30/2006
Last updated
06/08/2010
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