Individual
MATTHEW GRESSER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7115 E. MICHIGAN AVE, SUITE 200, SALINE, MI 48176
(734) 977-0013
(734) 977-0169
Mailing address
24 FRANK LLOYD WRIGHT DR # J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301074528
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104522952
—
MI
05
—
104578475
—
MI
01
—
930124113
RR MEDICARE
MI
Enumeration date
05/26/2006
Last updated
06/28/2023
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