Individual
EMILY LAUREN MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
115 E 7TH ST, MANTON, MI 49663-9429
(231) 824-4100
Mailing address
6227 FRANKFORT HWY, BENZONIA, MI 49616-8632
(231) 882-9661
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006735
MI
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/27/2013
Last updated
07/21/2022
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