Individual
MICHAEL J MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
4579
SD
207W00000X
Ophthalmology Physician
Primary
4579
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21438
SIOUX VALLEY HEALTH
—
05
—
6301483
—
SD
Enumeration date
07/13/2005
Last updated
04/24/2008
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