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Individual
MR. MICHAEL D MOREAU
Active
Individual
MR. MICHAEL D MOREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT CERT MDT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7706
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078ER
BCBS
NC
01
—
5759083
AETNA
NC
01
—
806058
PARTNERS MEDICARE
NC
01
—
A5929
MEDCOST
NC
Enumeration date
01/10/2006
Last updated
03/07/2012
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