Individual
MARK JONATHAN MOSEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15622 N HIGHWAY 41, RATHDRUM, ID 83858-8710
(208) 687-4878
(208) 687-4879
Mailing address
15622 N HIGHWAY 41, RATHDRUM, ID 83858-8710
(208) 687-4878
(208) 687-4879
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MC-2296
ID
Other
Enumeration date
11/09/2005
Last updated
08/05/2025
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