person
Mr. Michael Allen Moore, PA-C
Medical Physician Assistant in Comstock Park, Michigan
NPI 1225039837

Michael Allen Moore is a Medical Physician Assistant based in Grand Rapids, MI and is specialized in Medical. Michael Allen Moore practices in Comstock Park, MI and has the professional credentials of PA-C. The NPI Number for Michael Allen Moore is 1225039837 and holds a License No. 5601002580 (Michigan).

The current practice location address for Michael Allen Moore is 4200 Division Ave N, Comstock Park, MI and can be reached out via phone at 616-252-1600 and via fax at 616-252-1666.

Location: 4200 Division Ave N, Comstock Park, MI, 49506-4810
person
Provider Profile Details
NPI Number
1225039837
Provider Name
Michael Allen Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4200 Division Ave N, Comstock Park, MI, 49506-4810
Phone Number
616-252-1600
Fax Number
616-252-1666
Provider Enumeration Date
08/04/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4200 Division Ave N
City
State
Zip
49321-9546
Phone Number
616-252-1600
Fax Number
616-252-1666
person
Provider Business Mailing Address Details
Address
4200 Division Ave N
City
State
Zip
49321-9546
Phone Number
616-252-1600
Fax Number
616-252-1666
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601002580 (Michigan)
Definition
Definition to come...
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