Organization
LEGER-MOORE MANAGEMENT CONSULTANT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE MOORE REGISTERED NURSE (CEO)
(586) 531-8882
Entity
Organization
Contact information
Practice address
2422 JOLLY RD, STE. 200, OKEMOS, MI 48864-3686
(517) 349-9330
(517) 349-7131
Mailing address
2422 JOLLY RD, STE. 200, OKEMOS, MI 48864-3686
(517) 349-9330
(517) 349-7131
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
4301100643
MI
Other
Enumeration date
05/28/2012
Last updated
05/28/2012
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