Individual
DR. DAVID M MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
27501 WARREN RD, GARDEN CITY, MI 48135-2253
(734) 427-7111
(734) 427-1377
Mailing address
27501 WARREN RD, GARDEN CITY, MI 48135-2253
(734) 427-7111
(734) 427-1377
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
001094
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000000910
FIDELIS SECURE CARE
—
01
—
300294762
PPOM
—
01
—
480002353
THE TRAVELERS RRM
—
01
—
5188247
AETNA
—
01
—
5825121
BCBSM
MI
Enumeration date
05/26/2006
Last updated
04/11/2008
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