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NPI Code Detail

MEDICARE: MR. BRAD ALLEN MESSENGER MSW

MEDICARE: MR. BRAD ALLEN MESSENGER MSW
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
11041C0700XClinical Social Worker6801092156MI

General Provider Information

NPI Number : 1598076382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRAD ALLEN MESSENGER MSW
Provider Business Mailing Address
First Line : 1505 WATERFORD PKWY
Second Line :
City : SAINT JOHNS
State : MI
Zip : 48879-9630
Country : US
Telephone Number : 989-292-3572
Fax Number :
Provider Business Practice Location Address
First Line : 1055 S US HIGHWAY 27
Second Line :
City : SAINT JOHNS
State : MI
Zip : 48879-2437
Country : US
Telephone Number : 989-224-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2010
Last Update Date : 01/28/2024

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