NPI 1104431477

Mallory Quinn Marlowe, PA

Practitioner Physician Assistant Byron Center, MI

Practice location

Address: 7751 Byron Center Ave SW STE C, Byron Center, MI 49315-8001
Phone: (616) 267-7668
Mailing address: 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601010078 (MI)

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Registry record

NPI: 1104431477
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2020
Record last updated: 31 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.