Mallory, Maria D

Mallory, Maria D is an individual health care provider with primary practice located at 1200 6Th Ave N , Saint Cloud MN 56303-2735. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Mallory, Maria D can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 6Th Ave N Saint Cloud MN 56303-2735
Phone: (320) 252-5131
Fax: (320) 240-2118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 47718 Minnesota

Profile Details

NPI number 1689664344
LBN Legal business name Mallory, Maria D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Nov 28th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689664344 NPPES
Other 1043623 PREFERRED ONE
Other HP52031 PREFERRED ONE
Other 1701414 PREFERRED ONE
Other 346G4MA PREFERRED ONE
Other 132828 PREFERRED ONE
Other 2357287 PREFERRED ONE
Other 6D053CE PREFERRED ONE
Other 754479100 PREFERRED ONE

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