Individual
DR. STEVEN MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6805 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344-3418
(952) 833-3038
Mailing address
6805 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344-3418
(952) 833-3038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2122
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Y482MO
BCBS
MN
Enumeration date
07/27/2006
Last updated
03/10/2011
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