Individual
MALLORY STOLICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 W WACKERLY ST, MIDLAND, MI 48640-4722
(269) 908-0565
Mailing address
1582 COOLIDGE AVE, SAGINAW, MI 48638-4710
(269) 908-0565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012852
MI
Other
Enumeration date
11/16/2017
Last updated
04/15/2025
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