MR. Keith T Hustak PA-C

  • 1720149164 NPI Number
  • |
  • Actived: 13 years ago
  • |
According to our database, NPI number for MR. Keith T Hustak PA-C is 1720149164 and actived since Tuesday, December 12 2006. MR. Keith T Hustak PA-C is an individual provider specializes in Physician Assistant, primary practice location is 100 Michigan St Ne, Grand Rapids, MI 49503. You can also contact MR. Keith T Hustak PA-C via telephone number is (616) 486-2196. Provider NPI information was last updated on 11/30/2015.

Recently Active NPIs

Overview of MR. Keith T Hustak PA-C

  • NPI number: 1063059160
  • Provider type: Individual
  • Specialty: Physician Assistant
  • Gender: Male
  • Active since: 12/12/2006
  • Last updated: 11/30/2015

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 5601004306
  • License State: MI

Provider Mailing Address

  • Address: 100 Michigan St Ne
    Mc-039
    Grand Rapids, MI 49503
  • Phone: 616-486-2196
  • Fax:

Provider Practice Location

  • Address: 100 Michigan St Ne
    Mc-039
    Grand Rapids, MI 49503
  • Phone: 616-486-2196
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 5601004306
  • License State: MI
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for MR. Keith T Hustak PA-C?
  • A: The npi number for MR. Keith T Hustak PA-C is 1720149164.
  • Q: What are MR. Keith T Hustak PA-C's specialties?
  • A: MR. Keith T Hustak PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for MR. Keith T Hustak PA-C?
  • A: The medical license number for MR. Keith T Hustak PA-C is 5601004306 and issued in MI in USA.
  • Q: Where is MR. Keith T Hustak PA-C practice location?
  • A: MR. Keith T Hustak PA-C is practicing at 100 Michigan St Ne, Grand Rapids, MI 49503.
  • Q: How to contact MR. Keith T Hustak PA-C?
  • A: You can contact MR. Keith T Hustak PA-C via 616-486-2196.