Individual
DALE J MOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 B N MCEWAN ST., CLARE, MI 48617-1116
(989) 386-2020
(989) 386-7308
Mailing address
1520 B N MCEWAN ST., CLARE, MI 48617-1116
(989) 386-2020
(989) 386-7308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003085
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A80041
BLUECROSS AND BLUE SHIELD OF MICHIGAN
MI
05
—
1972691202
—
MI
01
—
410008233
RAIL ROAD MEDICARE
—
Enumeration date
10/11/2006
Last updated
03/01/2013
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