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Jake Moore, D.O
NPI 1730537887 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1180 N Main St Ste 5
Bowling Green, OH 43402 - Phone
- (419) 315-1225
- Fax
- (419) 315-1226
- Organisation at this address
- Fostoria Hospital Association
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 1 Genesys Pkwy, Grand Blanc, MI
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- MI, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-03
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 Ohio