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

Malisa M Burt, PA

Individual provider Medical Physician Assistant · NPI 1578973657

Malisa M Burt, PA is a Medical Physician Assistant in Royal Oak, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

127 Forest Ave
Royal Oak, MI 48067-1843
Phone: (248) 229-7927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601002694 (MI)

Record details

NPI number1578973657
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 29, 2014
Last updated in NPPESApril 29, 2014
Mailing address127 Forest Ave, Royal Oak, MI 48067-1843

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