David Moss, M.D.
Individual provider Active NPI Emergency Medicine Physician · Whitefish Bay, WI
NPI 1669615670 · NPPES record last updated Apr 7, 2009
Key facts
- NPI
- 1669615670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 22254-020 (WI)
- Practice address
- 5770 N Shore Dr
Whitefish Bay, WI 53217-4864 - Phone
- (414) 964-6080
- NPI assigned
- Apr 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22254-020 | WI | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 22254-020 | WI | Yes |
Addresses
Primary practice location
5770 N Shore Dr
Whitefish Bay, WI 53217-4864
Mailing address
5770 N Shore Dr
Whitefish Bay, WI 53217-4864
Phone (414) 964-6080
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All providers in Whitefish Bay, WI · Emergency Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.