Individual provider · Type 1 NPI

Jackson T. Moran

Emergency Medicine Physician · Waconia, MN

NPI number 1104574680 Active

Practice location

500 S Maple St
Waconia, MN 55387-1791

Call (952) 777-5553 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X82147 (MN)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1104574680

Jackson T. Moran's National Provider Identifier is 1104574680, issued on Mar 14, 2022. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Waconia, MN. The record was last updated on Sep 24, 2026.