Individual
GARY ALLEN MALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3400 N CENTER RD STE 400, SAGINAW, MI 48603-7920
(989) 753-9000
(989) 753-4024
Mailing address
PO BOX 5987, SAGINAW, MI 48603-0987
(989) 401-4245
(989) 401-4235
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101013484
MI
Other
Enumeration date
07/11/2006
Last updated
09/21/2020
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