Carissa Moeggenberg, MA

NPI #1205201159 in Mount Pleasant, Michigan

Provider Information

NPI Number: 1205201159
Entity Type: Individual
Name: Carissa Moeggenberg, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: MA
Enumeration Date: Dec 3, 2015
Last Updated: Dec 3, 2015

Practice Location

Address: 1101 HEALTH PROFESSIONS BLDG
City: Mount Pleasant
State: Michigan
ZIP Code: 48859-0001
Phone: (989) 774-2597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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