Moon, Michael

Moon, Michael is an individual health care provider with primary practice located at 1101 W University Drive , Rochester MI 48307-1831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Moon, Michael can be contacted via phone (248) 652-5000.

Contact Information

Primary practice address
1101 W University Drive Rochester MI 48307-1831
Phone: (248) 652-5000
Fax: (248) 652-5605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 054221 Michigan

Profile Details

NPI number 1366488157
LBN Legal business name Moon, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366488157 NPPES
Michigan Other 0637621 BS
Michigan MEDICAID 3102864 BS

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