WILLIAM C MOORE

LAKE ELMO, MN
NPI1114963451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R070888-1)
Enumeration Date2006-06-22
Last Update Date2007-07-08
Business Address
-- WILLIAM C MOORE CRNA
8650 HUDSON BLVD N
LAKE ELMO, MN 55042-9747
Phone number: 651-702-7400
Mailing Address
-- WILLIAM C MOORE CRNA
14700 28TH AVE N SUITE 20
PLYMOUTH, MN 55447-4835
Phone number: 763-559-3779
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