DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DAVID MOORE

MEDICARE: DAVID MOORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine Physician5101025385MI

General Provider Information

NPI Number : 1578002317
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MOORE
Provider Business Mailing Address
First Line : 4000 WELLNESS DR
Second Line :
City : MIDLAND
State : MI
Zip : 48670-2000
Country : US
Telephone Number : 989-839-3000
Fax Number :
Provider Business Practice Location Address
First Line : 3051 KIESEL RD
Second Line :
City : BAY CITY
State : MI
Zip : 48706-2449
Country : US
Telephone Number : 989-778-2900
Fax Number : 989-778-2901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2017
Last Update Date : 11/15/2022

Similar Medicare Providers

1730711573 — SHELLY CLELAND CAMPBELL
Practice Location Address:
3051 KIESEL RD
BAY CITY, MI
48706-2449
Practice Phone: 989-778-2888
Practice Fax: 989-778-2887
1861428328 — TIMOTHY TODD AXTELL PT
Practice Location Address:
3051 KIESEL RD
BAY CITY, MI
48706-2449
Practice Phone: 989-778-2839
Practice Fax: 989-778-2898
1376552489 — DAVID W JORDAHL MD
Practice Location Address:
3051 KIESEL RD
BAY CITY, MI
48706-2449
Practice Phone: 989-778-2888
Practice Fax: 989-778-2887
1760047088 — ASHLEY CHRISTINE BOUDREAU REGISTERED NURSE
Practice Location Address:
3051 KIESEL RD
BAY CITY, MI
48706-2449
Practice Phone: 989-778-2854
Practice Fax: 989-778-2887
1265094544 — ASHLEY MARIE BADOUR
Practice Location Address:
3051 KIESEL RD
BAY CITY, MI
48706-2449
Practice Phone: 989-778-2888
Practice Fax:
1679105415 — SHERI PAWLOWSKI PA-C
Practice Location Address:
3051 KIESEL RD
BAY CITY, MI
48706-2449
Practice Phone: 989-839-3000
Practice Fax:

Directions to “ DAVID MOORE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.