Individual
DR. JORDAN A MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 E SILVER SPRING DR, WHITEFISH BAY, WI 53217-4702
(414) 964-9030
Mailing address
121 E SILVER SPRING DR, WHITEFISH BAY, WI 53217-4702
(414) 964-9030
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
26687
WI
Other
Enumeration date
12/07/2005
Last updated
02/18/2016
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