Individual
MELISSA ANNE STASIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
334137
LA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
04/01/2026
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