Individual
MR. JOHN MOSKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 KELLEY RD, MONTGOMERY, MI 49255-9787
(517) 296-4369
Mailing address
912 KELLEY RD, MONTGOMERY, MI 49255-9787
(517) 296-4369
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AM120314997
MI
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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