Individual
MELISSA HULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5515 CLEVELAND AVE STE 1, STEVENSVILLE, MI 49127-9669
(269) 429-6604
(269) 429-1715
Mailing address
5515 CLEVELAND AVE STE 1, STEVENSVILLE, MI 49127-9669
(269) 429-6604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007886
MI
Other
Enumeration date
09/05/2016
Last updated
05/13/2025
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