Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Susan Elisabeth Moore, MD

Individual provider Family Medicine Physician · NPI 1578670089

Dr. Susan Elisabeth Moore, MD is a Family Medicine Physician in Crandon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 W Glen St
Crandon, WI 54520-1355
Phone: (715) 478-3318
Fax: (715) 478-3255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 45505 (WI)

Record details

NPI number1578670089
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESMay 7, 2012

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