Mark Owen Moleski MD

NPI 1033102371 - Ophthalmology - 207W00000X

NPI Details
NPI 1033102371
Gender Male
Enumeration Date 08/23/2005
Last Updated 03/16/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
791 KENMOOR SE
SUITE A CASCADE OPHTHALMOLOGY PC
GRAND RAPIDS MI, 49546-8625, US
Phone (616) 575-8200
Fax (616) 954-9622
Business Location
791 KENMOOR SE
SUITE A
GRAND RAPIDS MI, 49546-8625, US
Phone (616) 575-8200
Fax (616) 954-9622
Toxanomy
Taxonomy Code 207W00000X
License State Michigan
License Number 4301043504
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According to our database, Dr. Mark Owen Moleski MD NPI is 1033102371, taxonomy code is 207W00000X and license number is 4301043504, license state is located at Michigan. Mark Owen Moleski MD physically located at 791 Kenmoor Se, Grand Rapids MI, 49546-8625. NPI Number Mark Owen Moleski MD has the Individual type.

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1033102371 NPI number is provided on an as is basis without warranty of any kind. 1033102371 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Owen Moleski MD are for informational purposes only.