| NPI | 1245387935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY GLENN MESSENGER Owner 517-487-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207Q00000X Family Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| 207RA0000X Internal Medicine, Adolescent Medicine | |
| 207ZD0900X Pathology, Dermatopathology | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |