Organization
S. L. MOSS, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL MOSS M.D. (PRESIDENT)
(414) 453-7173
Entity
Organization
Contact information
Practice address
10625 W NORTH AVE, SUITE 222, WAUWATOSA, WI 53226-2315
(414) 453-7173
(414) 453-4653
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/23/2005
Last updated
08/22/2020
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