IndividualActive
Timothy Moss, MD/PHD
NPI 1568721850 · Clinical Genetics (M.D.) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1568721850
- Entity type
- Individual
- Primary specialty
- Clinical Genetics (M.D.) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD/PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301501458 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
25 Michigan St Ne Ste 2000
Grand Rapids, MI 49503-2526
Phone: (616) 391-2700
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2012-05-08
- Last updated
- 2024-04-23
- Certified
- 2024-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.