Provider Demographics
NPI:1770578692
Name:MESSNER, MICHAEL G (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:G
Last Name:MESSNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 7536
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-0208
Mailing Address - Country:US
Mailing Address - Phone:719-686-2820
Mailing Address - Fax:719-686-2830
Practice Address - Street 1:333 NORTH WEST ST
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-0208
Practice Address - Country:US
Practice Address - Phone:719-686-2820
Practice Address - Fax:719-686-2830
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2016-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO36776207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO19077564Medicaid
CO19077564Medicaid
COC811530Medicare PIN