Provider Demographics
NPI:1437314390
Name:MESSINGER, DAVID WARREN (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WARREN
Last Name:MESSINGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10231 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:SD
Mailing Address - Zip Code:57659
Mailing Address - Country:US
Mailing Address - Phone:701-276-9207
Mailing Address - Fax:
Practice Address - Street 1:10231 WALKER RD
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:SD
Practice Address - Zip Code:57659
Practice Address - Country:US
Practice Address - Phone:701-276-9207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6089207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B66328Medicare UPIN