Individual
MICHAEL ROBERT MESSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5213 GODFREY RD STE 110, GODFREY, IL 62035-2510
(618) 619-3330
(618) 463-7601
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
02004856A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036169796
IL
Other
Enumeration date
03/21/2009
Last updated
09/19/2025
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