Individual
DR. WILLIAM J MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 CRANBERRY BLVD, WESTON, WI 54476-5213
(715) 393-1000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036-070119
IL
207Y00000X
Otolaryngology Physician
Primary
49189
WI
207Y00000X
Otolaryngology Physician
MD25018
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275192
—
OR
05
—
34847000
—
WI
Enumeration date
07/07/2005
Last updated
07/26/2011
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