Individual
MRS. MALLORY M WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-0688
Mailing address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-0688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
09/03/2025
Last updated
01/16/2026
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