Individual
JAMES BRIAN MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
100 LAKE TRAVERSE DRIVE, SISSETON, SD 57262
(605) 742-3792
Mailing address
100 LAKE TRAVERSE DRIVE, SISSETON, SD 57262
(605) 742-3792
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
189324
SD
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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