Individual
AMY LOUISE MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2855 CAMPUS DR, PLYMOUTH, MN 55441-2649
(763) 577-7000
Mailing address
2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
(612) 439-1868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9908
MN
Other
Enumeration date
07/05/2006
Last updated
10/11/2021
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