Individual
DR. LEROY FREDERICK MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
380 BRADLEY AVE, DELAVAN, WI 53115-1924
(262) 728-6564
Mailing address
380 BRADLEY AVE, DELAVAN, WI 53115-1924
(262) 728-6564
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0001780-012
WI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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