Individual
DAVID G MOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
845 S MAIN ST, SUITE 120, FOND DU LAC, WI 54935-6174
(920) 322-0447
Mailing address
845 S MAIN ST, SUITE 120, FOND DU LAC, WI 54935-6174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3754-154
WI
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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