Individual
GRATIAN ALEXANDRU MOLDOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-8432
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
4704370915
MI
363L00000X
Nurse Practitioner
Primary
4704370915
MI
Other
Enumeration date
02/05/2025
Last updated
06/02/2025
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