Michael S Moore, MD

NPI #1720143084 in Antigo, Wisconsin

Provider Information

NPI Number: 1720143084
Entity Type: Individual
Name: Michael S Moore, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Dec 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 112 E 5TH AVE
City: Antigo
State: Wisconsin
ZIP Code: 54409-2710
Phone: (715) 623-2331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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