Moe, David C

Moe, David C is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Radiology, Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Moe, David C can be contacted via phone (414) 266-2523.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Radiology Milwaukee WI 53226-4874
Phone: (414) 266-2523
Fax: (414) 266-1525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X MD00046543 Washington
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 47272 Wisconsin

Profile Details

NPI number 1952411779
LBN Legal business name Moe, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952411779 NPPES
Wisconsin MEDICAID 1952411779

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