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Michele Moore, MN CHID #2729
NPI 1881560225 · on the registry since 2025
Practice
- Address
- 1780 9th St
White Bear Lake, MN 55110 - Phone
- (952) 905-0625
- Fax
- (952) 516-5316
Registry record
- Primary taxonomy
- 237600000X
237600000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-14
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