Individual
DOUGLAS PAUL MOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
W5282 AMY AVE, APPLETON, WI 54915-7233
(920) 358-1900
(920) 358-1909
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26838-020
WI
2084P0800X
Psychiatry Physician
Primary
26838
WI
Other
Enumeration date
12/15/2006
Last updated
05/07/2015
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