Individual
DR. TAMMY Z. MOVSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
220 WEST ELLSWORTH ST, MIDLAND COUNTY DEPT OF PUBLIC HEALTH, MIDLAND, MI 48640
(989) 832-6380
Mailing address
220 WEST ELLSWORTH ST, MIDLAND COUNTY DEPT OF PUBLIC HEALTH, MIDLAND, MI 48640
(989) 832-6380
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301085057
MI
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
4301085057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180H262240
BLUE CROSS-BLUE CROSS
—
05
—
475108910
—
MI
01
—
TM085057
CHAMPUS-CHAMPUS
—
Enumeration date
12/08/2006
Last updated
08/09/2012
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