Individual
MICHAEL J MOLDENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
624 OLD SAINT MARYS RD, SUITE A, PERRYVILLE, MO 63775-1837
(573) 547-3232
(573) 547-3231
Mailing address
624 OLD SAINT MARYS RD, SUITE A, PERRYVILLE, MO 63775-1837
(573) 547-3232
(573) 547-3231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010040721
MO
Other
Enumeration date
12/31/2010
Last updated
12/31/2010
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