Individual
MALLORY ROSE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5701 BOW POINTE DR STE 100, CLARKSTON, MI 48346-3199
(248) 625-2621
Mailing address
5701 BOW POINTE DR STE 100, CLARKSTON, MI 48346-3199
(248) 625-2621
(248) 625-2622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013305
MI
Other
Enumeration date
10/15/2025
Last updated
10/22/2025
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