Mark Owen Moleski in Grand Rapids - Ophthalmology

Mark Owen Moleski - NPI 1033102371

Mark Owen Moleski is a Ophthalmology in Grand Rapids, Michigan. Mark Owen Moleski practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Mark Owen Moleski is 1033102371. The last update date is 2015-03-16.

Mark Owen Moleski's current location address is 791 Kenmoor Se, Grand Rapids, Michigan. You can contact this provider via phone number 6165758200 and fax number 6169549622. The mailing address for Mark Owen Moleski is 791 Kenmoor Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Owen Moleski
Address 791 Kenmoor Se, Grand Rapids, Michigan
Phone Number 6165758200
Fax Number 6169549622
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1033102371
Provider Enumeration Date 2005-08-23
Last Updated Date 2015-03-16

Provider Mailing Address Detail

Address 791 Kenmoor Se
City Grand Rapids
State Michigan (MI)
Post Code 495468625
Phone Number 6165758200
Fax Number 6169549622

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 4301043504
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
358470002 DMERC
2116382 MI --
180410703 MI BLUE CROSS

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FAQs about Mark Owen Moleski

What is the unique identification code assigned to Mark Owen Moleski by the Centers for Medicare & Medicaid Services?

The Mark Owen Moleski has been issued the NPI (National Provider Identifier) 1033102371. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Mark Owen Moleski's physical address?

The Mark Owen Moleski is physically located at 791 Kenmoor Se, in the city of Grand Rapids, MI, with the postal code 495468625.

What is the area of specialization for Mark Owen Moleski, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mark Owen Moleski is Ophthalmology, and the corresponding taxonomy code that categorizes this area of expertise is 207W00000X.

On what date did Mark Owen Moleski receive its 1033102371 assignment from the Centers for Medicare & Medicaid Services?

The Mark Owen Moleski was assigned its 1033102371 on 2005-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Mark Owen Moleski, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mark Owen Moleski, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-16.

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