Maria D Mallory, MD

NPI #1689664344 in Saint Cloud, Minnesota

Provider Information

NPI Number: 1689664344
Entity Type: Individual
Name: Maria D Mallory, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Oct 25, 2005
Last Updated: Nov 28, 2011

Practice Location

Address: 1200 6TH AVE N
City: Saint Cloud
State: Minnesota
ZIP Code: 56303-2735
Phone: (320) 252-5131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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