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Organization

MARGARET MOEN MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARGARET L MOEN MD (OWNER)
(231) 935-8889
Entity
Organization

Contact information

Practice address
457 MUNSON AVE, TRAVERSE CITY, MI 49686-3084
(231) 935-8889
(231) 935-0540
Mailing address
457 MUNSON AVE, TRAVERSE CITY, MI 49686-3084
(231) 935-8889
(231) 935-0540

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MM050642
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
$$$$$$$$$
SOCIAL SECURITY NUMBER
MI
01
1014033
NHP
MI
01
124729
PREFERRED CHOICES
MI
01
1302810101
BCBSM
MI
01
1336230481
INDIVIDUAL NPI
MI
01
2084N0400X
TAXONOMY
MI
05
4594192
MI
01
MM050642
STATE LICENSE
MI
01
P00116249
RR MEDICARE
MI
01
QMXPR0026631
MOLINA
MI
Enumeration date
03/19/2007
Last updated
03/07/2023
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