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Melissa A Kooistra, PA
Physician Assistant in Portage, Michigan
NPI 1346260007

Melissa A Kooistra is a Physician Assistant based in Portage, MI. Melissa A Kooistra practices in Portage, MI and has the professional credentials of PA. The NPI Number for Melissa A Kooistra is 1346260007 and holds a License No. 5601004250 (Michigan).

The current practice location address for Melissa A Kooistra is 7920 Kirkland Ct, Portage, MI and can be reached out via phone at 269-345-8618.

Location: 7920 Kirkland Ct, Portage, MI, 49024-4974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346260007
Provider Name
Melissa A Kooistra
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
7920 Kirkland Ct, Portage, MI, 49024-4974
Phone Number
269-345-8618
Fax Number
Provider Enumeration Date
07/19/2006
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
110D111790 01 BCBSM GP
1558407189 01 MI GROUP NPI
institution
Provider Business Practice Location Address Details
Address
7920 Kirkland Ct
City
Portage
State
Michigan
Zip
49024-4974
Phone Number
269-345-8618
Fax Number
person
Provider Business Mailing Address Details
Address
7920 Kirkland Ct
City
Portage
State
Michigan
Zip
49024-4974
Phone Number
269-345-8618
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601004250 (Michigan)
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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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