Individual
MR. ROBERT MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
906 OKEEFE RD, MARSHALL, MI 49068-1354
(269) 274-5597
Mailing address
906 OKEEFE RD, MARSHALL, MI 49068-1354
(269) 274-5597
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3654133
MI
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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