Individual
DR. GREGORY MICHAEL MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
970 S SILVER LAKE ST, STE. 102, OCONOMOWOC, WI 53066-3802
(262) 569-7100
(262) 567-6295
Mailing address
970 S SILVER LAKE ST, STE. 102, OCONOMOWOC, WI 53066-3802
(262) 569-7100
(262) 567-6295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35710
WI
Other
Enumeration date
02/08/2006
Last updated
08/03/2012
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