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Search › Wisconsin › 207N00000X

Jordan Moore, MD

NPI 1013992619 · on the registry since 2005 · sole proprietor

Practice

Address
121 E Silver Spring Dr
Whitefish Bay, WI 53217
Phone
(414) 964-9030
Organisation at this address
Shapingfactors
Jordan A Moore Md Sc
Forefront Dermatology, S.C.
Mindara Modern Psychiatry Llc
Longevity Holistic Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
207N00000X
207N00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin