Individual
VINCENT JOSEPH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-8360
(715) 361-4738
Mailing address
2251 N SHORE DR, SUITE 100, RHINELANDER, WI 54501-8360
(715) 361-4700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20928
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34080300
—
WI
Enumeration date
06/08/2006
Last updated
12/15/2011
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