Individual
DR. HILLARD S MOFFIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CAMPUS CLINIC - TOSA CENTER, 1155 NORTH MAYFAIR ROAD, MILWAUKEE, WI 53226
(414) 805-3666
Mailing address
10000 W INNOVATION DR, SUITE 300, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30070
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31519300
—
WI
Enumeration date
05/15/2006
Last updated
07/28/2010
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