Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Stolicker, PA-C

Individual provider Physician Assistant · NPI 1659884336

Mallory Stolicker, PA-C is a Physician Assistant in Midland, Michigan. Qualified in 2024, 2 years ago. Practices with Mymichigan Medical Group, a 178-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

555 W Wackerly St
Midland, MI 48640-4722
Phone: (269) 908-0565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012852 (MI)

Record details

NPI number1659884336
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2017
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address1582 Coolidge Ave, Saginaw, MI 48638-4710

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mymichigan Medical Group — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Midland