Individual
DR. ROBERT K MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28341 HOOVER RD, WARREN, MI 48093-4151
(586) 751-8890
(586) 751-1103
Mailing address
28341 HOOVER RD, WARREN, MI 48093-4151
(586) 751-8890
(586) 751-1103
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301029450
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500002
BLUE CROSS/BLUE SHIELD
MI
05
—
1666313
—
MI
Enumeration date
10/18/2005
Last updated
01/15/2010
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