Individual
ADAM MATTHEW MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 W 70TH ST, EDINA, MN 55435-4227
(952) 848-8300
(952) 848-8315
Mailing address
3100 W 70TH ST, EDINA, MN 55435-4227
(952) 848-8300
(952) 848-8315
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35123510
OH
207W00000X
Ophthalmology Physician
46931
KY
207W00000X
Ophthalmology Physician
Primary
59501
MN
Other
Enumeration date
04/26/2010
Last updated
01/20/2017
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