Individual
DR. JEFFREY MARK MOSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-1625
(812) 855-4628
Mailing address
1800 E 2ND ST, BLOOMINGTON, IN 47401-5224
(812) 331-7717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031093
IN
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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