Individual
DR. JACQUELINE MCCLELLAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2349
(231) 935-5800
(231) 935-5885
Mailing address
10850 E TRAVERSE HWY, STE 4400, TRAVERSE CITY, MI 49684-1364
(231) 346-6800
(231) 346-6096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101017571
MI
Other
Enumeration date
06/13/2008
Last updated
05/16/2025
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