Individual
DAVID MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2142 MONROE ST STE 100, DEARBORN, MI 48124-3057
(313) 481-1030
(313) 481-1031
Mailing address
2142 MONROE ST STE 100, DEARBORN, MI 48124-3057
(313) 481-1030
(313) 481-1031
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
DM048222
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160H229520
BCBSM
MI
01
—
364509477
TAX ID
MI
01
—
4299391
AETNA
MI
05
—
4793786
—
MI
05
—
4944657
—
MI
Enumeration date
01/06/2006
Last updated
07/28/2022
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