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Individual

MR. STEVEN N MOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BC-HIS

Contact information

Practice address
222 E MAIN ST, SUITE 108, ANOKA, MN 55303-1771
(763) 421-4234
(763) 421-2135
Mailing address
222 E MAIN ST, SUITE 108, ANOKA, MN 55303-1771
(763) 421-4234
(763) 421-2135

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2316
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
474521300
MEDICAL ASSISTANCE
MN
Enumeration date
02/29/2008
Last updated
01/27/2009
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