Individual
DR. RICHARD A MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(262) 691-1940
(262) 691-1126
Mailing address
10625 W NORTH AVE, 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33408
WI
207Q00000X
Family Medicine Physician
33408
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30061600
—
WI
Enumeration date
06/10/2006
Last updated
09/20/2017
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