Individual
JAMES S MALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 EXCELSIOR BLVD SUITE 4-820, DIGESTIVE AND ENDOSCOPY CENTER METHODIST HOSPITAL, ST LOUIS PARK, MN 55426
(952) 993-3240
(952) 993-2640
Mailing address
6500 EXCELSIOR BLVD SUITE 4-820, DIGESTIVE AND ENDOSCOPY CENTER METHODIST HOSPITAL, ST LOUIS PARK, MN 55426
(952) 993-3240
(952) 993-2640
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
36617
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
834323300
—
MN
Enumeration date
06/08/2006
Last updated
11/07/2012
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