Individual
JULIE A MOENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1178 PROFESSIONAL DR, VAN WERT, OH 45891-2461
(419) 238-6251
(419) 238-1652
Mailing address
1178 PROFESSIONAL DR, VAN WERT, OH 45891-2461
(419) 238-6251
(419) 238-1652
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50003909
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341380522
TAX ID
OH
Enumeration date
09/24/2013
Last updated
01/27/2016
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