Individual
DR. ARTHUR G MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10625 W NORTH AVE STE 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
Mailing address
10625 W NORTH AVE STE 102, WAUWATOSA, WI 53226-2315
(414) 877-5350
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125064550
IL
207P00000X
Emergency Medicine Physician
Primary
69429-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2014
Last updated
07/02/2021
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