Individual
MICHELE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN CHID #2729
Contact information
Practice address
1780 9TH ST, WHITE BEAR LAKE, MN 55110-6724
(952) 905-0625
(952) 516-5316
Mailing address
1780 9TH ST, WHITE BEAR LAKE, MN 55110-6724
(952) 905-0625
(952) 516-5316
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
2729
MN
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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