Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Hudson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679163984

Mallory Hudson is a Physician Assistant in West Bloomfield, Michigan. Graduated from Wayne State University School of Medicine in 2021, 5 years ago. Practices with Uwh of Michigan PLC, a 92-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2021
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5839 W Maple Rd Ste 100
West Bloomfield, MI 48322-2278
Phone: (248) 862-7221
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5793 W Maple Rd Ste 147, West Bloomfield, MI 48322-4478 — (248) 862-7221

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010568 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679163984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2021
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address39555 Orchard Hill Pl Ste 600, Novi, MI 48375-5381

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Uwh Of Michigan Plc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in West Bloomfield