Individual
JOELLYN CAROL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 E 28TH ST, SUITE 300 - MR 33300, MINNEAPOLIS, MN 55407-1139
(202) 841-3542
Mailing address
920 E 28TH ST, SUITE 300 - MR 33300, MINNEAPOLIS, MN 55407-1139
(202) 841-3542
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.093443
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
57675
MN
Other
Enumeration date
05/13/2008
Last updated
11/10/2020
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