Individual
DR. JOHN ALEXANDER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
274 E CHICAGO ST, COLDWATER, MI 49036-2041
(517) 279-5400
Mailing address
736 REEF DR, CANTON, MI 48187-0106
(425) 478-5160
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101019879
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/10/2012
Last updated
11/01/2022
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