Individual
DR. MARTIN WILLIAM MOEHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD27256
ME
207RG0100X
Gastroenterology Physician
Primary
MD27256
ME
207RT0003X
Transplant Hepatology Physician
MD27256
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01554557
—
MS
05
—
1079812
—
LA
Enumeration date
11/06/2007
Last updated
07/27/2023
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