DR. Jacob Mallad, DO

NPI #1932890225 in Wayne, Michigan

Provider Information

NPI Number: 1932890225
Entity Type: Individual
Name: DR. Jacob Mallad, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 17, 2023
Last Updated: May 17, 2023

Practice Location

Address: 33155 ANNAPOLIS ST
City: Wayne
State: Michigan
ZIP Code: 48184-2405
Phone: (734) 467-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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