Individual
MARK H MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-6180
(608) 263-9103
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
37547
WI
2080P0201X
Pediatric Allergy/Immunology Physician
37547
WI
Other
Enumeration date
02/27/2006
Last updated
01/14/2021
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