Individual
DR. ERIC T MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(820) 032-6225
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
018291
ME
207P00000X
Emergency Medicine Physician
Primary
60232
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030839
—
WI
Enumeration date
07/12/2007
Last updated
09/10/2024
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