IndividualActive
Mallory Joseph, MD
NPI 1306337399 · MOHS-Micrographic Surgery Physician · Grandville, MI
Provider details
- NPI number
- 1306337399
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301509122 (MI)
Practice location
4285 Parkway Place Dr Sw
Grandville, MI 49418-2385
Phone: (616) 252-3376
Mailing address
4285 Parkway Place Dr Sw
Grandville, MI 49418-2385
Registry dates
- Enumerated
- 2018-05-24
- Last updated
- 2025-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.