Individual
MARIE B MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 LINCOLN CIR SE, SUITE 100, ORANGE CITY, IA 51041-1862
(712) 737-2000
(712) 737-2115
Mailing address
1000 LINCOLN CIR SE, SUITE 100, ORANGE CITY, IA 51041-1862
(712) 737-2000
(712) 737-2115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36782
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003886367
GROUP
—
01
—
1508871252
WELLMARK
IA
05
—
1508871252
—
IA
01
—
17161
AVERA
IA
01
—
1962477992
GROUP
—
Enumeration date
07/30/2006
Last updated
02/09/2023
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