# DR. FRED M MOESLEIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053435321
- **Gender:** Man
- **Credential:** MD, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | MD431732 | PA | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 35.087689 | OH | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | MD431732 | MD | — |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 06/26/2024