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NPI Code Detail

MEDICARE: DR. MARGARET MESSERLY M.D.

MEDICARE: DR. MARGARET MESSERLY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35-069728OH

General Provider Information

NPI Number : 1053450700
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARGARET MESSERLY M.D.
Provider Business Mailing Address
First Line : 6140 S BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44053-3821
Country : US
Telephone Number : 440-204-4100
Fax Number :
Provider Business Practice Location Address
First Line : 992 N ABBE RD
Second Line :
City : ELYRIA
State : OH
Zip : 44035-1638
Country : US
Telephone Number : 440-366-5262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 01/10/2013

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