Individual provider · Type 1 NPI

Michael P. Watta, PA-C

Medical Physician Assistant · Shelby Township, MI

NPI number 1669497319 Active

Practice location

50505 Schoenherr Rd, Suite 290
Shelby Township, MI 48315-3140

Call (586) 314-0080 Map

Fax (877) 673-3562

Mailing address

50505 Schoenherr Rd Ste 290
Shelby Township, MI 48315-3141

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601002148 (MI)
Medical Physician Assistant Primary 363AM0700X5601002148 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1669497319

Michael P. Watta, PA-C's National Provider Identifier is 1669497319, issued on Jul 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shelby Township, MI. The record was last updated on Sep 11, 2026.