Susan Elisabeth Moore in Crandon - Family Medicine
Susan Elisabeth Moore - NPI 1578670089
Susan Elisabeth Moore is a Family Medicine in Crandon, Wisconsin. Susan Elisabeth Moore practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan Elisabeth Moore is 1578670089. The last update date is 2012-05-07.
Susan Elisabeth Moore's current location address is 400 W Glen St, Crandon, Wisconsin. You can contact this provider via phone number 7154783318 and fax number 7154783255. The mailing address for Susan Elisabeth Moore is 400 W Glen St, Crandon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Elisabeth Moore |
|---|---|
| Address | 400 W Glen St, Crandon, Wisconsin |
| Phone Number | 7154783318 |
| Fax Number | 7154783255 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578670089 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2012-05-07 |
Provider Mailing Address Detail
| Address | 400 W Glen St |
|---|---|
| City | Crandon |
| State | Wisconsin (WI) |
| Post Code | 545201355 |
| Phone Number | 7154783318 |
| Fax Number | 7154783255 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 45505 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Elisabeth Moore?
The Susan Elisabeth Moore has been issued the NPI (National Provider Identifier) 1578670089 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Susan Elisabeth Moore is geographically located?
The Susan Elisabeth Moore is physically situated at the following location: 400 W Glen St, Crandon, WI, 545201355.
What is Susan Elisabeth Moore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Elisabeth Moore is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578670089 to Susan Elisabeth Moore?
The Centers for Medicare & Medicaid Services assigned the 1578670089 to Susan Elisabeth Moore on 2006-08-23.
As of what date was the information regarding Susan Elisabeth Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Elisabeth Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-05-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY