Organization
JORDAN A MOORE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN A MOORE M.D. (PHYSICAN/OWNER)
(414) 964-9031
Entity
Organization
Contact information
Practice address
121 E SILVER SPRING DR, WHITEFISH BAY, WI 53217-4702
(414) 964-9030
(414) 964-9620
Mailing address
121 E SILVER SPRING DR, WHITEFISH BAY, WI 53217-4702
(414) 964-9030
(414) 964-9620
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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