Dr. Gary M Moss, O.D.
Optometrist in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1457317950
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457317950
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gary M Moss
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901002648 | MI | Yes |
Practice location
1769 Washtenaw RdYpsilanti, MI 48197-2020
Phone 734-483-2100 · Fax 734-483-2060
Mailing address
1769 Washtenaw RdYpsilanti, MI 48197-2020
Phone 734-483-2100 · Fax 734-483-2060
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