Individual
MRS. SALLY JO MESSERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7247 TRAVERSE AVE, BENZONIA, MI 49616-9806
(231) 882-0100
Mailing address
7247 TRAVERSE AVE, P.O. BOX 167, BENZONIA, MI 49616-9806
(231) 882-0100
Taxonomy
Speciality
Code
Description
License number
State
2471C1106X
Cardiac-Interventional Technology Radiologic Technologist
Primary
247200000X/TECHNICIA
MI
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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