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MALISA M BURT PA
NPI 1578973657
Physician Assistant - Medical in Royal Oak, MI

Active since April 29, 2014
127 FOREST AVE, ROYAL OAK, MI 48067(248) 229-7927 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Malisa M Burt Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALISA M BURT PA (NPI 1578973657) is an individual medical provider in Royal Oak, Michigan, licensed in Michigan (5601002694) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1578973657
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMALISA M BURTCredential: PA
Location Address127 FOREST AVERoyal Oak, MI 48067-1843
Mailing Address127 Forest AveRoyal Oak, MI 48067-1843 · (248) 229-7927
Phone(248) 229-7927
Sole ProprietorYes
Enumeration DateApril 29, 2014
✔ NPI 1578973657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601002694
127 FOREST AVE, Royal Oak, MI 48067
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malisa Burt's NPI number?

The NPI number for Malisa Burt is 1578973657. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Malisa Burt located?

Malisa Burt practices at 127 Forest Ave, Royal Oak, MI 48067. The listed phone number is (248) 229-7927.

What is Malisa Burt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Malisa Burt was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.