Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN A MOORE, MD
Active Sole ProprietorDR. JORDAN A MOORE, MD is a Dermatology healthcare provider located in WHITEFISH BAY, Wisconsin. NPI 1013992619 is currently active in the NPPES registry. Verify at CMS.
Dermatology · WHITEFISH BAY, WI
Registration Details
- NPI Number
- 1013992619
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2005 (20.722791677119 yrs)
- Last Updated
- Feb 18, 2016
- License
-
26687 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 E SILVER SPRING DRWHITEFISH BAY, WI, 532174702Browse WI providers · Browse ZIP 53217
- Phone
- 4149649030
- Primary Specialty
-
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.