Individual
DR. JAMIE MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4069 LAKE DR SE, SUITE 117, GRAND RAPIDS, MI 49546-8816
(616) 267-7601
(616) 267-7200
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301099854
MI
2086S0127X
Trauma Surgery Physician
4301099854
MI
Other
Enumeration date
07/14/2008
Last updated
10/10/2014
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