MICHAEL EDWARDS MOON

TROY, MI
NPI1710601349
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  4704387584)
Enumeration Date2022-09-27
Last Update Date2022-11-14
Business Address
MICHAEL EDWARDS MOON
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number: 248-964-5000
Mailing Address
MICHAEL EDWARDS MOON
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number: 248-964-5000
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