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Anthony Moore
NPI 1053040295 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5143 N 68th St
Milwaukee, WI 53218 - Phone
- (414) 299-9992
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-05
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