Wayne E Moore MD

NPI 1003824004 - Surgery - 208600000X

NPI Details
NPI 1003824004
Gender Male
Enumeration Date 08/04/2006
Last Updated 11/12/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
901 LINCOLNWAY
STE 304
LAPORTE IN, 46350, US
Phone (219) 362-8523
Fax (219) 324-9396
Business Location
P.O. BOX 1690
LAPORTE IN, 46352-1690, US
Phone (219) 326-2312
Fax (219) 326-2584
Toxanomy
Taxonomy Code 208600000X
License State Indiana
License Number IN01038003A
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According to our database, Wayne E Moore MD NPI is 1003824004, taxonomy code is 208600000X and license number is IN01038003A, license state is located at Indiana. Wayne E Moore MD physically located at 901 Lincolnway, Laporte IN, 46350. NPI Number Wayne E Moore MD has the Individual type.

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1003824004 NPI number is provided on an as is basis without warranty of any kind. 1003824004 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne E Moore MD are for informational purposes only.