Individual
MARIA STARCHOOK-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
59815
WI
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
59815
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2012
Last updated
04/28/2025
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