Individual
DR. DONALD F MOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31157 WOODWARD AVE, SUITE 501, ROYAL OAK, MI 48073-0926
(248) 336-0123
(248) 336-3190
Mailing address
31157 WOODWARD AVE, SUITE 501, ROYAL OAK, MI 48073-0926
(248) 336-0123
(248) 336-3190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301041177
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3406334131
BCBSM INDIVIDUAL ID
MI
01
—
34104505
RAILROAD MEDICARE
MI
01
—
4366812
AETNA
MI
05
—
4973523
—
MI
01
—
A77372
HAP
MI
01
—
C5868
MCARE
MI
01
—
DM041177
BCBSM OTHER IDENTIFIER
MI
Enumeration date
11/21/2005
Last updated
07/14/2007
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