Individual
JANE BLOWERS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5565 BLAINE AVE, SUITE 200, INVER GROVE HEIGHTS, MN 55076-1238
(651) 621-8888
(651) 621-8805
Mailing address
5565 BLAINE AVE, SUITE 200, INVER GROVE HEIGHTS, MN 55076-1238
(651) 621-8888
(651) 621-8805
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
42542
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327105600
—
MN
Enumeration date
08/30/2006
Last updated
08/27/2020
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