Individual
ANDREW MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14650 E. OLD US HWY 12, SUITE 105, CHELSEA, MI 48118
(734) 593-5700
(734) 593-5705
Mailing address
24 FRANK LLOYD WRIGHT DR., LOBBY J2000, ANN ARBOR, MI 48106
(734) 330-7342
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301083833
MI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
4301083833
MI
Other
Enumeration date
04/17/2007
Last updated
08/02/2021
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