Organization
MOOV-WISCONSIN S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANDREW BIRDSALL MD (CHIEF OPERATIONS OFFICER)
(510) 851-7552
Entity
Organization
Contact information
Practice address
17110 W GREENFIELD AVE STE 6, BROOKFIELD, WI 53005-6947
(262) 277-1018
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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