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Individual

DR. BENJAMIN DEAN MOSHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 E MICHIGAN AVE STE 655, LANSING, MI 48912-1837
(517) 267-2460
(517) 267-2462
Mailing address
804 SERVICE RD # A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301067886
MI
2086S0102X
Surgical Critical Care Physician
Primary
4301067886
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4741331
MI
Enumeration date
08/19/2006
Last updated
07/02/2025
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