Individual
TAYLOR MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6629 UNIVERSITY AVE STE 101, MIDDLETON, WI 53562
(920) 379-7268
Mailing address
6629 UNIVERSITY AVE STE 101, MIDDLETON, WI 53562-3037
(920) 379-7268
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5456
WI
Other
Enumeration date
06/20/2019
Last updated
10/15/2019
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