Individual
DR. BRANDON JAMES MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4012
(701) 780-6000
(701) 780-5772
Mailing address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-6000
(701) 780-5772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1967
ND
Other
Enumeration date
09/12/2016
Last updated
03/21/2018
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