# MICHAEL J MORAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669470589
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FC0800X | Contact Lens Technician/Technologist | 4579 | SD | — |
| 207W00000X | Ophthalmology Physician | 4579 | SD | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 04/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 21438 | SIOUX VALLEY HEALTH | — |
| 05 | — | 6301483 | — | SD |