Organization
GREGORY G MESSENGER PLLC
Active
Organization
GREGORY G MESSENGER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY G MESSENGER MD (OWNER)
(517) 487-0128
Entity
Organization
Contact information
Practice address
1515 LAKE LANSING RD, SUITE A, LANSING, MI 48912-3753
(517) 487-0128
(517) 487-2639
Mailing address
1515 LAKE LANSING RD, SUITE A, LANSING, MI 48912-3753
(517) 487-0128
(517) 487-2639
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
MI
207ND0101X
MOHS-Micrographic Surgery Physician
—
MI
207ND0900X
Dermatopathology Physician
—
MI
207NP0225X
Pediatric Dermatology Physician
—
MI
207NS0135X
Procedural Dermatology Physician
—
MI
207ZD0900X
Dermatopathology (Pathology) Physician
—
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70036066
BCBSM
MI
Enumeration date
10/09/2006
Last updated
10/26/2011
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