Individual
FREDERICK S MOSCH
Active
Individual
FREDERICK S MOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45071
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404654
MEDICA
—
05
—
101787000
—
MN
01
—
1031978
PREFERRED ONE
—
01
—
1671091
AMERICAS PPO
—
01
—
170843
UCARE MINNESOTA
—
01
—
220TIMO
BLUE CROSS BLUE SHIELD
—
05
—
34301100
—
WI
Enumeration date
10/20/2006
Last updated
11/10/2020
Update your record
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