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Search › Minnesota › 208600000X

Mackenzie Moore

NPI 1629422993 · on the registry since 2016 · sole proprietor

Practice

Address
920 E 28th St
Suite 460
Minneapolis, MN 55407
Phone
(612) 863-7770
Organisation at this address
Allina Health System
Allina Health System
Allina Health System
Allina Health System
Allina Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Additional practice sites

  • 420 Delaware St Se, Minneapolis, MN
  • 3931 Louisiana Ave S, St Louis Park, MN

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
390200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota