Individual
MRS. ROBIN D MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1717 E CHICAGO RD, SUITE 2, STURGIS, MI 49091-8524
(269) 651-4744
Mailing address
1717 E CHICAGO RD, SUITE 2, STURGIS, MI 49091-8524
(269) 651-4744
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4704246809
MI
363LF0000X
Family Nurse Practitioner
Primary
4704246809
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790016301
—
MI
Enumeration date
01/21/2010
Last updated
01/28/2011
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