Jean Moral

NPI 1326582149 · on the registry since 2016 · sole proprietor

Practice

Address: 10012 W Capitol Dr Ste 101
Milwaukee, WI 53222
Phone: (414) 810-4844
Organisation at this address: Genetox, Llc
Bayshore Foot And Ankle Clinic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-12-13

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