Melissa Pakkala Hustak in Grand Rapids - Physician Assistant
Melissa Pakkala Hustak - NPI 1063582146
Melissa Pakkala Hustak is a Physician Assistant in Grand Rapids, Michigan. Melissa Pakkala Hustak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Melissa Pakkala Hustak is 1063582146. The last update date is 2021-09-13.
Melissa Pakkala Hustak's current location address is 444 Michigan St Ne # Mc288, Grand Rapids, Michigan. You can contact this provider via phone number 6162677469. The mailing address for Melissa Pakkala Hustak is 444 Michigan St Ne # Mc288, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Pakkala Hustak |
|---|---|
| Address | 444 Michigan St Ne # Mc288, Grand Rapids, Michigan |
| Phone Number | 6162677469 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063582146 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2021-09-13 |
Provider Mailing Address Detail
| Address | 444 Michigan St Ne # Mc288 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495033317 |
| Phone Number | 6162677469 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004312 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Melissa Pakkala Hustak by the Centers for Medicare & Medicaid Services (CMS)?
The Melissa Pakkala Hustak has been assigned the NPI (National Provider Identifier) 1063582146. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Melissa Pakkala Hustak is physically located?
The Melissa Pakkala Hustak is situated at the following address: 444 Michigan St Ne # Mc288, Grand Rapids, MI 495033317.
What is Melissa Pakkala Hustak's specialized field of practice, and what is the corresponding taxonomy classification code?
The Melissa Pakkala Hustak's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063582146 to Melissa Pakkala Hustak?
The Centers for Medicare & Medicaid Services originally issued the 1063582146 to Melissa Pakkala Hustak on 2006-11-08.
When was the information related to Melissa Pakkala Hustak most recently updated or refreshed?
The details pertaining to the Melissa Pakkala Hustak, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-09-13.