Individual
ANITA MONIQUE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39901 TRADITIONS DR, SUITE 240, NORTHVILLE, MI 48169-9493
(248) 305-4400
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
11015588A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
4301104919
MI
Other
Enumeration date
06/12/2010
Last updated
04/17/2019
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