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NPI Code Detail

MEDICARE: DR. ANDREW W MESSENGER D.O.

MEDICARE:  DR. ANDREW W MESSENGER  D.O.
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
1207Q00000XFamily Medicine Physician510100741MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073543666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW W MESSENGER D.O.
Provider Business Mailing Address
First Line : 1005 S US HIGHWAY 27
Second Line : SUITE 100
City : SAINT JOHNS
State : MI
Zip : 48879-2423
Country : US
Telephone Number : 989-224-3000
Fax Number : 989-224-1424
Provider Business Practice Location Address
First Line : 1005 S US HIGHWAY 27
Second Line : SUITE 100
City : SAINT JOHNS
State : MI
Zip : 48879-2423
Country : US
Telephone Number : 989-224-3000
Fax Number : 989-224-1424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 08/11/2016

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Directions to “ DR. ANDREW W MESSENGER D.O.” Practice Location

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