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Contact Information

MICHAEL J MORAN, MD
705 14TH AVE NE
WATERTOWN, SD57201-6827
 Phone: 605-886-7722
 Fax: 605-886-7723
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Contact Lens

156FC0800X
Indicates primary specialty

NPI Profile & details for MICHAEL J MORAN · (Male)

NPI Number 1669470589
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2005
Last updated 04/24/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 4579
  • SD Medicaid 6301483
  • Other 21438 SIOUX VALLEY HEALTH
Hospital affiliation(s)
  • PRAIRIE LAKES HOSPITAL - (Acute Care)
    401 9TH AVENUE NW POST OFFICE BOX 1210
    WATERTOWN, SD 57201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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