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Individual

ADRIAN M MORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 649-3370
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 649-3370

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
016355
ME
2080P0202X
Pediatric Cardiology Physician
Primary
22611
WI
2080P0202X
Pediatric Cardiology Physician
MD16355
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
292420099
ME
Enumeration date
01/25/2006
Last updated
11/23/2022
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