Bridgett R Moss DO

NPI 1043437213 - Emergency Medicine - 207P00000X

NPI Details
NPI 1043437213
Gender Female
Enumeration Date 04/19/2007
Last Updated 09/22/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
5650 N GREEN BAY AVE
GLENDALE WI, 53209-4446, US
Phone (414) 527-5690
Fax (414) 527-5695
Business Location
5650 N GREEN BAY AVE
GLENDALE WI, 53209-4446, US
Phone (414) 527-5690
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Wisconsin
License Number 50193
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According to our database, Bridgett R Moss DO NPI is 1043437213, taxonomy code is 207P00000X and license number is 50193, license state is located at Wisconsin. Bridgett R Moss DO physically located at 5650 N Green Bay Ave, Glendale WI, 53209-4446. NPI Number Bridgett R Moss DO has the Individual type.

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1043437213 NPI number is provided on an as is basis without warranty of any kind. 1043437213 is maintained by the National Plan & Provider Enumeration System. The contents of Bridgett R Moss DO are for informational purposes only.