Individual
MR. JOHN S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
26300 FORD RD # 160, DEARBORN HEIGHTS, MI 48127-2854
(248) 255-6018
Mailing address
26300 FORD RD # 160, DEARBORN HEIGHTS, MI 48127-2854
(248) 255-6018
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704177816
MI
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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