Individual
HERSHEL S. MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4008 CALGARY CT, ANN ARBOR, MI 48108-2798
(734) 668-6462
(734) 369-3369
Mailing address
4008 CALGARY CT, ANN ARBOR, MI 48108-2798
(734) 668-6462
(734) 369-3369
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
046203
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010H262530
BLUE CROSS-BLUE CROSS
—
05
—
424098110
—
MI
01
—
HM046203
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/17/2006
Last updated
03/22/2009
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