Individual
DR. MICHAEL T MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 LAKEWOOD LN, COVINGTON, VA 24426-5717
(540) 969-4482
Mailing address
110 LAKEWOOD LN, COVINGTON, VA 24426-5717
(540) 969-4482
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101245560
VA
207Q00000X
Family Medicine Physician
4301088631
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301088631
STATE LICENSE
MI
Enumeration date
10/10/2006
Last updated
06/12/2024
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