Individual
MICHAEL MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3920 ST FRANCIS WAY STE 105, LAFAYETTE, IN 47905-4917
(765) 502-4000
(765) 502-4709
Mailing address
PO BOX 781076, DETROIT, MI 48278-1008
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01098059A
IN
208800000X
Urology Physician
2017-02511
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC3296
—
SC
Enumeration date
05/12/2006
Last updated
04/15/2026
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