MEDICARE: DR. MICHAEL L MOSIER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0418435	KS

General Provider Information

NPI Number	:	1508822354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL L MOSIER M.D.

Provider Business Mailing Address
First Line	:	2900 AMHERST AVE
Second Line	:	SUITE A
City	:	MANHATTAN
State	:	KS
Zip	:	66503-3003
Country	:	US
Telephone Number	:	785-539-8700
Fax Number	:	785-776-9788

Provider Business Practice Location Address
First Line	:	2900 AMHERST AVE
Second Line	:	SUITE A
City	:	MANHATTAN
State	:	KS
Zip	:	66503-3003
Country	:	US
Telephone Number	:	785-539-8700
Fax Number	:	785-776-9788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	07/06/2010

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