Individual
ANN T MOELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
359 FOREST AVE, DAYTON, OH 45405-4563
(937) 228-4492
Mailing address
359 FOREST AVE, DAYTON, OH 45405-4563
(937) 228-4492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-060654 M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0966969
—
OH
Enumeration date
07/17/2006
Last updated
03/25/2014
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