Individual
GERARD M MOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10201 E JEFFERSON AVE, SUITE 201A, DETROIT, MI 48214-3149
(313) 821-3777
(313) 824-3777
Mailing address
DEPT 999360 PO BOX 33738, DETROIT, MI 48232-3738
(810) 720-5715
(810) 732-0891
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301051836
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2673288
—
MI
05
—
4502397
—
MI
Enumeration date
11/03/2005
Last updated
11/10/2015
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