MELISSA PAKKALA HUSTAK

GRAND RAPIDS, MI
NPI1063582146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004312)
Enumeration Date2006-11-08
Last Update Date2021-09-13
Business Address
MELISSA PAKKALA HUSTAK PA-C
444 MICHIGAN ST NE # MC288
GRAND RAPIDS, MI 49503-3317
Phone number: 616-267-7469
Mailing Address
MELISSA PAKKALA HUSTAK PA-C
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number: