Individual
RAQUEL FARIAS-MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3464
(414) 266-3466
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3464
(414) 266-3466
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
67359
WI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
CS1600480
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144532052
—
WI
Enumeration date
07/08/2010
Last updated
07/21/2022
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