Individual
CARISSA MOEGGENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1101 HEALTH PROFESSIONS BLDG, MOUNT PLEASANT, MI 48859-0001
(989) 774-2597
Mailing address
2999 N BUNN RD, HILLSDALE, MI 49242-9210
(517) 607-1115
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
MI
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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