person
Mrs. Melissa Visser, PA-C
Medical Physician Assistant in Portage, Michigan
NPI 1588844328

Melissa Visser is a Medical Physician Assistant based in Kalamazoo, MI and is specialized in Medical. Melissa Visser practices in Portage, MI and has the professional credentials of PA-C. The NPI Number for Melissa Visser is 1588844328 and holds a License No. 5601005118 (Michigan).

The current practice location address for Melissa Visser is 2600 W Centre Ave, Portage, MI and can be reached out via phone at 269-324-4141 and via fax at 269-324-2020. You can also correspond with Melissa Visser through the mailing address at 601 JOHN ST, KALAMAZOO, MI - 49007-5341 (mailing address contact number: 269-324-4141).

Location: 2600 W Centre Ave, Portage, MI, 49007-5341
person
Provider Profile Details
NPI Number
1588844328
Provider Name
Melissa Visser
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2600 W Centre Ave, Portage, MI, 49007-5341
Phone Number
269-324-4141
Fax Number
269-324-2020
Provider Enumeration Date
11/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588844328 05 MI
1104840529 01 MI BCBSM - BMG TAX ID
institution
Provider Business Practice Location Address Details
Address
2600 W Centre Ave
City
State
Zip
49024-4666
Phone Number
269-324-4141
Fax Number
269-324-2020
person
Provider Business Mailing Address Details
Address
2600 W Centre Ave
City
State
Zip
49024-4666
Phone Number
269-324-4141
Fax Number
269-324-2020
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601005118 (Michigan)
Definition
Definition to come...
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