Individual
DR. CASEY MOSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 CLYDE PARK AVE SW, WYOMING, MI 49509-9525
(616) 531-9629
(616) 530-7165
Mailing address
5500 CLYDE PARK AVE SW, WYOMING, MI 49509-9525
(616) 531-9629
(616) 530-7165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036229
MI
Other
Enumeration date
11/23/2013
Last updated
03/12/2014
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