Most Relevant Information
Provider Data
| NPI Number: | 1003494105 |
| Provider Name: | ELENA RAE MOSES DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207V00000X |
| Specialty: | Obstetrics & Gynecology |
| License Number: | 5151014907 |
Most Important Dates
| Enumeration Date: | 03/30/2021 |
| Last Updated: | 09/29/2021 |
Provider Practice Location
2333 BIDDLE AVE
WYANDOTTE
MI
481924668
Practice Location Phone/Fax
| Phone: | 7342468004 |
| Fax: |
Provider Mailing Location
2333 BIDDLE AVE
WYANDOTTE
MI
481924668
Provider Mailing Phone/Fax
| Phone: | 7342468004 |
| Fax: |
Suggested EMR
OBGYN EMR