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Individual

DAVID C MOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9000 W WISCONSIN AVE, PEDIATRIC RADIOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-2523
(414) 266-1525
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC RADIOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-2523
(414) 266-1525

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
47272
WI
2085P0229X
Pediatric Radiology Physician
MD00046543
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952411779
WI
Enumeration date
08/30/2006
Last updated
03/12/2024
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