Provider Profile

Mallory Mickus

Unclaimed Profile

About Mallory Mickus

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Specialty

Credentials & Licensing

IN license36001700A
NPI1659785137
NPI issued06/12/2014

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

Where is Mallory Mickus located?

Mallory Mickus is listed at 2200 W Sudbury Dr E2, Bloomington, IN 47403. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Mallory Mickus's phone number?

The number on file is (219) 921-4028. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Mallory Mickus?

Mallory Mickus's National Provider Identifier is 1659785137. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Mallory Mickus have?

Mallory Mickus has 12+ years experience. Registered with an NPI since 2014. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Mallory Mickus's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Mallory Mickus. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.