Individual
DR. GLYNDA MELONSON MOORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
EAST CIRCLE DRIVE, OLIN HEALTH CENTER, EAST LANSING, MI 48824
(517) 355-4510
(517) 432-9528
Mailing address
OLIN HEALTH CENTER, EAST CIRCLE DRIVE, EAST LANSING, MI 48824-1037
(517) 884-6546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301039370
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1375049
—
MI
Enumeration date
08/19/2006
Last updated
12/11/2009
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