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 |