Individual provider · Type 1 NPI

Daniel J. Moore, PA-C

Physician Assistant · Lansing, MI

NPI number 1821312174 Active

Practice location

6465 Millennium, Suite 100
Lansing, MI 48917-6880

Call (517) 975-3720 Map

Fax (517) 975-3748

Mailing address

401 S Ballenger Hwy
Flint, MI 48532-3638

Other practice locations

  • 3413 Woods Edge, Okemos, MI 48864-5901 · (517) 349-3303

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601004846 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

4 other providers at this address

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About NPI 1821312174

Daniel J. Moore, PA-C's National Provider Identifier is 1821312174, issued on Mar 16, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lansing, MI. The record was last updated on Oct 23, 2026.