Daniel S. Moore, M.D.
Internal Medicine in Detroit, MI. Individual provider (NPI-1).
NPI number1346265196
StatusActive
Last updated in NPPESApr 5, 2021
Details
- NPI
- 1346265196
- Entity type
- Individual (NPI-1)
- Name
- Daniel S. Moore
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Certification date
- Apr 5, 2021
- Last updated
- Apr 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 4301087116 | MI | Yes |
Practice location
Henry Ford Health System2799 West Grand Boulevard
Detroit, MI 48202
Phone 313-916-9106 · Fax 313-916-1249
Mailing address
Henry Ford Health System2799 West Grand Boulevard
Detroit, MI 48202
Phone 313-916-9106
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