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Organization

STEVEN D. MOE, INC.

Active
Parent organization
STEVEN D. MOE, INC.
Other names
Dr. Steven Moe, Inc.
Organization subpart
Yes

Provider details

NPI number
Legal business name
STEVEN D. MOE, INC.
Authorized official
STEVEN D MOE D.C. (OWNER)
(952) 833-3038
Entity
Organization

Contact information

Practice address
6805 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN 55344-3418
(952) 833-3038
(952) 833-3040
Mailing address
6805 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN 55344-3418
(952) 833-3038
(952) 833-3040

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2122
MN
111N00000X
Chiropractor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11814MO
BC/BS OF MN
MN
Enumeration date
01/14/2008
Last updated
03/23/2011
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