Individual
DAVID MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3051 KIESEL RD, BAY CITY, MI 48706-2449
(989) 778-2900
(989) 778-2901
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101025385
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2017
Last updated
11/15/2022
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