Mark J.R. Moulton in Muskegon - Orthopaedic Surgery

Mark J.R. Moulton - NPI 1891758850

Mark J.R. Moulton is a Orthopaedic Surgery in Muskegon, Michigan. Mark J.R. Moulton practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Mark J.R. Moulton is 1891758850. The last update date is 2012-11-01.

Mark J.R. Moulton's current location address is 1400 Mercy Dr., Muskegon, Michigan. You can contact this provider via phone number 2317331326 and fax number 2317335212. The mailing address for Mark J.R. Moulton is 1400 Mercy Dr., Muskegon, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark J.R. Moulton
Address 1400 Mercy Dr., Muskegon, Michigan
Phone Number 2317331326
Fax Number 2317335212
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1891758850
Provider Enumeration Date 2006-04-10
Last Updated Date 2012-11-01

Provider Mailing Address Detail

Address 1400 Mercy Dr.
City Muskegon
State Michigan (MI)
Post Code 494441878
Phone Number 2317331326
Fax Number 2317335212

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 4301075708
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4238876 MI --
4301075708 MI STATE LICENSE

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FAQs about Mark J.R. Moulton

What is the unique identification code assigned to Mark J.R. Moulton by the Centers for Medicare & Medicaid Services?

The Mark J.R. Moulton has been issued the NPI (National Provider Identifier) 1891758850. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Mark J.R. Moulton?

The Mark J.R. Moulton is situated at 1400 Mercy Dr., in the city of Muskegon, state of MI, with the zip code 494441878.

What is the Mark J.R. Moulton's specialty and taxonomy code?

The Mark J.R. Moulton's specialty is Orthopaedic Surgery, and the corresponding taxonomy code is 207X00000X.

On what date was the 1891758850 assigned to Mark J.R. Moulton?

The Mark J.R. Moulton was issued its 1891758850 on 2006-04-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Mark J.R. Moulton most recently updated or revised?

The information pertaining to Mark J.R. Moulton, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-01.

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