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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY HUDSON

Active

MALLORY HUDSON is a Physician Assistant healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1679163984 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WEST BLOOMFIELD, MI

Registration Details

NPI Number
1679163984
Provider Type
Individual
Gender
Female
NPI Issued
Jan 20, 2021 (5.5492222570167 yrs)
Last Updated
Oct 29, 2025
License
5601010568 (MI)

Practice Information

Address
5839 W MAPLE RD STE 100
WEST BLOOMFIELD, MI, 483222278
Browse MI providers · Browse ZIP 48322
Phone
2488627221
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in WEST BLOOMFIELD, MI

Name Credential NPI
JODI E LENNOX PA-C 1407826191
MARIE STOCKDALE PA 1134197106
MRS. LEEAH R SLOAN P.A. 1164458881
BRETT F KUHLMANN PAC 1376570531
MRS. JENNIFER LYNN O'NEILL PA-C 1295825347
ROBERT QUIBLAN ARELLANO 1891885315
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.