Individual
DR. CHRISTINA C MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209
(414) 352-3100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125063522
IL
207L00000X
Anesthesiology Physician
67223
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
67223
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
67223
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069538
—
WI
Enumeration date
05/16/2013
Last updated
10/28/2024
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