NPI 1013992619

Jordan a Moore, MD

Practitioner Dermatology Physician Whitefish Bay, WI

Practice location

Address: 121 E Silver Spring Dr, Whitefish Bay, WI 53217-4702
Phone: (414) 964-9030

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 26687 (WI)

Other Dermatology providers in Wisconsin →

Registry record

NPI: 1013992619
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2005
Record last updated: 18 Feb 2016

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.