Individual
JOHN C. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6525 FRANCE AVE S STE 200, EDINA, MN 55435-2176
(612) 672-7422
Mailing address
6525 FRANCE AVE S STE 200, EDINA, MN 55435-2176
(612) 672-7422
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
61474
MN
Other
Enumeration date
05/22/2007
Last updated
11/17/2022
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