| NPI | 1386731545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY G MESSENGER Owner 517-487-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207ZD0900X Pathology, Dermatopathology | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2011-10-26 |