Wendy Moore

NPI #1790283810 in Fergus Falls, Minnesota

Provider Information

NPI Number: 1790283810
Entity Type: Individual
Name: Wendy Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jan 23, 2018
Last Updated: Jan 23, 2018

Practice Location

Address: 1806 E FIR AVE STE 200
City: Fergus Falls
State: Minnesota
ZIP Code: 56537-3921
Phone: (218) 998-2992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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