Individual
MICHAEL CONDI CT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 NICOLLET MALL STE 1950, MINNEAPOLIS, MN 55402-2707
(612) 339-0738
(612) 321-0985
Mailing address
825 NICOLLET MALL STE 1950, MINNEAPOLIS, MN 55402-2707
(612) 339-0738
(612) 321-0985
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24905
MN
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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