Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 4301086531 | MI |
NPI | 1013127893 |
---|---|
Provider Name | Dr. Patricia Ann Moesner |
First Address | Detroit, MI 48267-3876 |
Second Address | Brownstown Twp, MI 48183-1090 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 06/02/2013 |