Individual
MELISSA ANNE STASIAK
Active
Individual
MELISSA ANNE STASIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085012251
IL
363AM0700X
Medical Physician Assistant
14060
GA
363AM0700X
Medical Physician Assistant
2865
AL
363AM0700X
Medical Physician Assistant
Primary
334137
LA
363AM0700X
Medical Physician Assistant
PA230519
OR
Other
Enumeration date
11/02/2021
Last updated
08/05/2026
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