Individual
DR. MICHAEL SEAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL, 4430 MISSOURI AVENUE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Mailing address
8180 BELDEN BLVD, COTTAGE GROVE, MN 55016-2645
(651) 282-4283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53953
MN
Other
Enumeration date
06/19/2008
Last updated
07/25/2025
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