Jordan Robert Moe, M.D.

NPI #1033386966 in Staples, Minnesota

Provider Information

NPI Number: 1033386966
Entity Type: Individual
Name: Jordan Robert Moe, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 9, 2008
Last Updated: Dec 14, 2011

Practice Location

Address: 49725 COUNTY 83
City: Staples
State: Minnesota
ZIP Code: 56479-5280
Phone: (218) 894-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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