Individual
MR. NATHAN W. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2009 5TH ST, MONROE, WI 53566-1546
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
51442
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
06/22/2006
Last updated
12/29/2020
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