Mallery, James S

Mallery, James S is an individual health care provider with primary practice located at 6500 Excelsior Blvd Suite 4-820 Digestive And Endoscopy Center Methodist Hospital, St Louis Park MN 55426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mallery, James S can be contacted via phone (952) 993-3240.

Contact Information

Primary practice address
6500 Excelsior Blvd Suite 4-820 Digestive And Endoscopy Center Methodist Hospital St Louis Park MN 55426
Phone: (952) 993-3240
Fax: (952) 993-2640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 36617 Minnesota

Profile Details

NPI number 1851331441
LBN Legal business name Mallery, James S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 7th, 2012 - about 14 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 1851331441 NPPES
Minnesota MEDICAID 834323300

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