MEDICARE: NATHAN THOMAS WESTERLUND MS, PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		MI

General Provider Information

NPI Number	:	1639020472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN THOMAS WESTERLUND MS, PA-C

Provider Business Mailing Address
First Line	:	1019 CLIFFDALE DR
Second Line	:
City	:	HASLETT
State	:	MI
Zip	:	48840-9781
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 N EAST AVE
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-1753
Country	:	US
Telephone Number	:	517-205-4800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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