Organization
EDILBERTO MORENO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY LYNN WEBER (OFFICE MANAGER)
(810) 344-9073
Entity
Organization
Contact information
Practice address
8384 HOLLY RD STE 2, GRAND BLANC, MI 48439-1975
(810) 344-9073
(810) 771-4541
Mailing address
8384 HOLLY RD STE 2, GRAND BLANC, MI 48439-1975
(810) 344-9073
(810) 771-4541
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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