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

Marcus Moore

Individual provider Other Technician · NPI 1356707582

Marcus Moore is an Other Technician in Southgate, Michigan. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

13101 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 785-7700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1356707582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 4, 2016
Last updated in NPPESJanuary 4, 2016
Mailing address13101 Allen Rd, Southgate, MI 48195-2216

Other providers in Southgate