Mr. Keith T Hustak, PA-C
Mr. Keith T Hustak, PA-C is a Physician Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
100 Michigan St NE MC-039Grand Rapids, MI 49503-2560
Phone: (616) 486-2196
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601004306 (MI) |
|---|
Record details
| NPI number | 1720149164 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | December 12, 2006 |
| Last updated in NPPES | November 30, 2015 |
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