Jordan A Moore MD

NPI 1013992619 - Dermatology - 207N00000X

NPI Details
NPI 1013992619
Gender Male
Enumeration Date 12/07/2005
Last Updated 02/18/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
121 E SILVER SPRING DR
WHITEFISH BAY WI, 53217-4702, US
Phone (414) 964-9030
Fax
Business Location
121 E SILVER SPRING DR
WHITEFISH BAY WI, 53217-4702, US
Phone (414) 964-9030
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Wisconsin
License Number 26687
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According to our database, Dr. Jordan A Moore MD NPI is 1013992619, taxonomy code is 207N00000X and license number is 26687, license state is located at Wisconsin. Jordan A Moore MD physically located at 121 E Silver Spring Dr, Whitefish Bay WI, 53217-4702. NPI Number Jordan A Moore MD has the Individual type.

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1013992619 NPI number is provided on an as is basis without warranty of any kind. 1013992619 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan A Moore MD are for informational purposes only.