NPI 1124181755

Kenneth J. Moquin, MD

Practitioner Plastic Surgery Physician Detroit, MI

Practice location

Address: Henry Ford Health System 2799 West Grand Boulevard, Detroit, MI 48202
Phone: (313) 916-2436

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 4301063210 (MI)

Other Plastic Surgery providers in Michigan →

Registry record

NPI: 1124181755
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.