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Individual

MICHAEL J MESSINGHAM

Active
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Individual

MICHAEL J MESSINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
34780
IA
207ND0101X
MOHS-Micrographic Surgery Physician
34780
IA
207NS0135X
Procedural Dermatology Physician
Primary
34780
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0440156
IA
01
36453
WELLMARK BCBS
IA
Enumeration date
09/01/2005
Last updated
11/27/2007
Update your record

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