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Organization
MOSS FOOT CLINIC PLLC
Active
Organization
MOSS FOOT CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MOSS DPM (OWNER/MEMBER)
(734) 427-7111
Entity
Organization
Contact information
Practice address
27501 WARREN RD, GARDEN CITY, MI 48135-2253
(734) 427-7111
(734) 427-1377
Mailing address
27501 WARREN RD, GARDEN CITY, MI 48135-2253
(734) 427-7111
(734) 427-1377
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
001094
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5188247
AETNA
MI
Enumeration date
03/12/2008
Last updated
04/20/2008
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