Individual
HAROLD MOORES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 COBB ST, CADILLAC, MI 49601-2542
(231) 775-6076
(231) 775-0027
Mailing address
PO BOX 271, CADILLAC, MI 49601-0271
(231) 775-6076
(231) 775-0027
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301057697
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F71000
BCBS
MI
05
—
104134503
—
MI
05
—
104400127
—
MI
05
—
104744745
—
MI
Enumeration date
05/01/2006
Last updated
05/29/2012
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