Individual
MRS. AMEY LOU MOEGGENBORG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
611 COURT ST, WEST BRANCH, MI 48661-9390
(989) 345-7000
(989) 345-7479
Mailing address
611 COURT ST, WEST BRANCH, MI 48661-9390
(989) 345-7000
(989) 345-7479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004378
MI
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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