Provider Demographics
NPI:1215019682
Name:MESSING, ROBYN D (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:D
Last Name:MESSING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ROBYN
Other - Middle Name:DANA
Other - Last Name:GAZALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1035 CHARLEVOIX DR
Mailing Address - Street 2:STE 100
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-2223
Mailing Address - Country:US
Mailing Address - Phone:517-676-9788
Mailing Address - Fax:517-676-3438
Practice Address - Street 1:935 CHARLEVOIX DR STE 100
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-2293
Practice Address - Country:US
Practice Address - Phone:517-372-2253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIBM015681207N00000X, 207NP0225X, 207NS0135X, 207Q00000X, 207QA0505X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5101015681OtherMI STATE LICENSE
MI5315027997OtherCONTROLLED SUBSTANCE
MI5315027997OtherCONTROLLED SUBSTANCE