Individual
VASILIOS (BILL) MOUTZOUROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6525 2ND AVE, DETROIT, MI 48202-3006
(313) 972-4200
Mailing address
26600 AMHEARST CIR APT 211, BEACHWOOD, OH 44122-7580
(847) 858-5997
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
4301090016
MI
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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