Individual
DR. ADAM OTTO MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2501 E COLLEGE AVE, SUITE C, BLOOMINGTON, IL 61704-2484
(309) 661-1155
Mailing address
2501 E COLLEGE AVE, SUITE C, BLOOMINGTON, IL 61704-2484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011934
IL
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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