Search › Michigan › 207RC0001X
Douglas Moore, D.O
NPI 1194729053 · on the registry since 2005
Practice
- Address
- 25195 Kelly Rd Ste A
Roseville, MI 48066 - Phone
- (586) 775-4594
- Fax
- (586) 775-4506
- Organisation at this address
- Eastside Cardiovascular Medicine
Eastside Cardiovascular Medicine, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Additional practice sites
- 1223 Mercy Dr, Muskegon, MI
- 310 Lafayette Ave Se Ste 300, Grand Rapids, MI
Registry record
- Primary taxonomy
- 207RC0001X
207RC0001X
- Also registered as
- 207RC0000X
207RC0001X - Licence states on file
- VA, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-11
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 Michigan