Individual
DR. SHERYL L MOSS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10625 W NORTH AVE, SUITE 222, WAUWATOSA, WI 53226-2315
(414) 453-7173
(414) 453-4653
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23826-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30521800
—
WI
Enumeration date
01/19/2006
Last updated
07/08/2007
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