Individual
DR. ROMAN SCOT MOECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
25350 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2102
(313) 563-2020
(313) 274-1605
Mailing address
25350 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2102
(313) 563-2020
(313) 274-1605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005410
MI
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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