Individual
DR. VICKY MARIE MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
345 10TH AVE, GRANITE FALLS, MN 56241-1442
(320) 564-6200
(320) 313-3386
Mailing address
345 10TH AVE, GRANITE FALLS, MN 56241-1442
(320) 564-6200
(320) 313-3386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265662431
—
MN
Enumeration date
07/21/2009
Last updated
03/30/2017
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