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Mackenzie Moore
NPI 1629422993 · on the registry since 2016 · sole proprietor
Practice
- Address
- 920 E 28th St
Suite 460
Minneapolis, MN 55407 - Phone
- (612) 863-7770
- Organisation at this address
- Allina Health System
Allina Health System
Allina Health System
Allina Health System
Allina Health SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 102
Additional practice sites
- 420 Delaware St Se, Minneapolis, MN
- 3931 Louisiana Ave S, St Louis Park, MN
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-07
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 Minnesota