DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANE MOSS, R.R.T

Active

2279E1000X · GRAND RAPIDS, MI

Registration Details

NPI Number
1720465248
Provider Type
Individual
Gender
Female
NPI Issued
May 5, 2015 (10.965081886342 yrs)
Last Updated
May 5, 2015
License
4401001878 (MI)

Practice Information

Address
150 JEFFERSON AVE SE
GRAND RAPIDS, MI, 495034306
Browse MI providers · Browse ZIP 49503
Phone
6166851433
Fax
6166851437
Primary Specialty
2279E1000X
2279E1000X

Other 2279E1000X Providers in GRAND RAPIDS, MI

Name Credential NPI
MRS. CHRISTINA ROSE WHELAND 1922485499
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.