NPI 1316973480

Freeman Mark Moore, MD

Practitioner Personal Emergency Response Attendant Berlin, WI

Practice location

Address: 225 Memorial Dr, Berlin, WI 54923-1243
Phone: (920) 361-1313
Mailing address: 1501 S Lutz Dr, Appleton, WI 54914-5550

Registered specialties

Personal Emergency Response Attendant Primary

Emergency Medical Service Providers Taxonomy 146D00000X Licence 18406 (WI)

Other Personal Emergency Response Attendant providers in Wisconsin →

Registry record

NPI: 1316973480
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2006
Record last updated: 8 Jul 2007

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.