Individual
DUANE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3415 SEYBURN ST, DETROIT, MI 48214-1720
(313) 925-8751
Mailing address
3415 SEYBURN ST, DETROIT, MI 48214-1720
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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