National Provider Identifier Database

MARY D MOORE, MD – NPI #1275502445
Pediatric Rheumatology

A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.


Contact Information

MARY D MOORE, MD
1000 HOUGHTON AVE
SAGINAW, MI48602-5303
Phone: 989-746-7500
Fax: 989-746-7752
Website:
Specialty Taxonomy Code
* Pediatric Rheumatology 2080P0216X

* Indicates primary specialty

NPI Profile & details for MARY D MOORE

NPI Number 1275502445
Credentials MD
Entity Individual
Enumeration date 03/17/2006
Last updated 03/30/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 4301080845
  • MI Medicaid: 4440356
  • Other: 3503906282 BCBS
Hospital affiliation n/a

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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