Organization
ENDOCRINE SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOOD MOOSA M.D. (OWNER)
(734) 682-5243
Entity
Organization
Contact information
Practice address
15506 S TELEGRAPH RD, MONROE, MI 48161-5520
(734) 682-5243
(888) 677-1987
Mailing address
15506 S TELEGRAPH RD, MONROE, MI 48161-5520
(734) 682-5243
(888) 677-1987
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1105810772
—
MI
Enumeration date
07/01/2009
Last updated
01/07/2011
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