Organization
MIDWEST DERMATOLOGY INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MESSENGER MD (PRESIDENT)
(269) 224-6554
Entity
Organization
Contact information
Practice address
3480 CAPITAL AVE SW, BATTLE CREEK, MI 49015-9354
(269) 224-6554
(269) 224-6537
Mailing address
3480 CAPITAL AVE SW, BATTLE CREEK, MI 49015-9354
(269) 224-6554
(269) 224-6537
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI16892
MEDICARE
MI
Enumeration date
02/08/2023
Last updated
09/10/2024
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