Individual
DR. DANIEL GERALD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
19332 HIGHWAY 169, ELK RIVER, MN 55330-4645
(763) 441-7788
(763) 441-8818
Mailing address
19260 EVANS ST NW, ELK RIVER, MN 55330-1076
(763) 441-7788
(763) 441-8818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003531
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1990917
FIRST HEALTH
MN
05
—
421027100
—
MN
01
—
75B35MO
BLUECROSS BLUESHIELD
MN
Enumeration date
08/12/2005
Last updated
03/18/2019
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