Basic Information
Provider Information
NPI: 1083921712
EntityType: 2
ReplacementNPI:  
OrganizationName: ROBYN D MESSING DO PLLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: PO BOX 10
Address2:  
City: MASON
State: MI
PostalCode: 488540010
CountryCode: US
TelephoneNumber: 5176769788
FaxNumber: 5176763438
Practice Location
Address1: 2815 S PENNSYLVANIA AVE
Address2: SUITE #107
City: LANSING
State: MI
PostalCode: 489103495
CountryCode: US
TelephoneNumber: 5173722253
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/01/2010
LastUpdateDate: 09/01/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MESSING
AuthorizedOfficialFirstName: ROBYN
AuthorizedOfficialMiddleName: D
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 5173722253
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: DO
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X5315027997MIY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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