| Doctor Name: | MELISSA ANN KUSHLAK |
| NPI Number: | 1659664175 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 5101018994 |
| Business Practice Address: | 1445 Sheldon Rd Suite 301 Grand Haven, MI - 494172480 |
| Business Phone Number: | 6168472500 |
| Business Fax Number: | |
| Mailing Address: | 1310 Wisconsin Ave, Suite 101 GRAND HAVEN |
| State: | MI |
| Postal Code: | 494172472 |
| Phone Number: | 6168444528 |
| Fax Number: | 6168475608 |
| NPI Enumeration Date: | 05/17/2011 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 5101018994 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |