Individual
MR. MICHAEL ALAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
38251 S GROESBECK HWY, CLINTON TWP, MI 48036-1929
(586) 469-6210
Mailing address
2631 CLAYTON DR, TROY, MI 48083-2423
(248) 622-7067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704222093
MI
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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