NPI 1003824004

Wayne E Moore, MD

Practitioner Surgery Physician Laporte, IN

Practice location

Address: 901 Lincolnway STE 304, Laporte, IN 46350
Phone: (219) 362-8523
Fax: (219) 324-9396
Mailing address: P.O. Box 1690, Laporte, IN 46352-1690

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence IN01038003A (IN)

Other Surgery providers in Indiana →

Registry record

NPI: 1003824004
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Aug 2006
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.