Individual provider · Type 1 NPI

Mackenzie M. Moore

Surgery Physician · Minneapolis, MN

NPI number 1629422993 Active

Practice location

920 E 28th St, Suite 460
Minneapolis, MN 55407-1286

Call (612) 863-7770 Map

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X66100 (MN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1629422993

Mackenzie M. Moore's National Provider Identifier is 1629422993, issued on Apr 22, 2016. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 29, 2026.