Individual
GERALD L MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0356
(612) 626-6688
(612) 625-7950
Mailing address
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0356
(612) 626-6688
(612) 625-7950
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35292
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410897300
—
MN
Enumeration date
10/02/2006
Last updated
04/05/2011
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