Individual
DANIEL J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6465 MILLENNIUM, SUITE 100, LANSING, MI 48917-6880
(517) 975-3720
(517) 975-3748
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004846
MI
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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