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Individual

DR. MICHAEL D MORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2029 BLUEGRASS CIR, STE 200, CHEYENNE, WY 82009-7368
(307) 778-7666
(307) 632-4465
Mailing address
2029 BLUEGRASS CIR, STE 200, CHEYENNE, WY 82009-7368
(307) 778-7666
(307) 632-4465

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
W59
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103786200
WY
01
311541
BLUE SHIELD
WY
Enumeration date
06/27/2005
Last updated
10/22/2009
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