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Individual

ADAM DEREK-ALAN MOFFATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1951 S OTSEGO AVE, GAYLORD, MI 49735-8489
(989) 732-3284
(989) 732-6395
Mailing address
1951 S OTSEGO AVE, GAYLORD, MI 49735-8489
(989) 732-3284
(989) 732-6395

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011331TMP22
MI

Other

Enumeration date
08/29/2022
Last updated
08/29/2022
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