Individual
DR. GARY M MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1769 WASHTENAW RD, YPSILANTI, MI 48197-2020
(734) 483-2100
(734) 483-2060
Mailing address
1769 WASHTENAW RD, YPSILANTI, MI 48197-2020
(734) 483-2100
(734) 483-2060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002648
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5069375
—
MI
Enumeration date
04/24/2006
Last updated
07/08/2007
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