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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELLEN MOORE, MD

Active

ELLEN MOORE, MD is a Family Medicine healthcare provider located in HUDSONVILLE, Michigan. NPI 1992299515 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · HUDSONVILLE, MI

Registration Details

NPI Number
1992299515
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2018 (8.1574959112133 yrs)
Last Updated
Aug 25, 2021
Licenses
4301115010 (MI)
4351027347 (MI)

Practice Information

Address
3912 32ND AVE
HUDSONVILLE, MI, 494268460
Browse MI providers · Browse ZIP 49426
Phone
6162528700
Fax
6162528750
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in HUDSONVILLE, MI

Name Credential NPI
STEVEN J VERKAIK MD 1003804642
JOHN DYKSTRA DO 1730177379
MICHAEL A BYARS MD 1790773166
STEVEN C VANNOORD M.D. 1649234857
DR. KAREN M DEMPSEY MD 1528140662
DR. RUSSELL E DEMPSEY MD 1720160872
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.