Individual
RUTH M MOINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITONER
Contact information
Practice address
3950 BEAUBIEN, CHILDREN'S HOSPITAL OF MI/ SPECIALTY CENTER, DETROIT, MI 48201
(313) 832-8550
(313) 993-8685
Mailing address
4201 ST. ANTOINE UHC 5D, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 966-5051
(313) 966-5051
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704191752
MI
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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