Individual
GREGORY GLENN MESSENGER
Active
Individual
GREGORY GLENN MESSENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
GM044698
MI
207ND0101X
MOHS-Micrographic Surgery Physician
GM044698
MI
207ND0900X
Dermatopathology Physician
GM044698
MI
207NS0135X
Procedural Dermatology Physician
GM044698
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03 000539
PHP OF MICHIGAN
MI
05
—
1622220
—
MI
01
—
GM044698
STATE LICENSE
MI
Enumeration date
05/08/2006
Last updated
03/07/2023
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