Individual
DR. HENRY E MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
(313) 916-7437
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
(313) 916-7437
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101026531
MI
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
5101026531
MI
Other
Enumeration date
04/30/2019
Last updated
01/16/2024
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