MALISA M BURT PA NPI 1578973657

NPI Information

  • NPI: 1578973657
  • Provider Name: MALISA M BURT, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 127 FOREST AVE
    ROYAL OAK, MI
    ZIP 48067
  • Phone: (248) 229-7927

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NPI Details

Malisa M Burt, PA is a medical physician assistant in Royal Oak, MI. Malisa M Burt, PA NPI is 1578973657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

127 FOREST AVE
ROYAL OAK, MI
ZIP 48067-843
Phone: (248) 229-7927

The enumeration date for this NPI number is 4/29/2014 and was last updated on 4/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical5601002694MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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