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Individual

DR. DONNALYN MOELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3131 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 272-8854
(614) 272-9200
Mailing address
3131 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 272-8854
(614) 272-9200

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3600995
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2015125
OH
Enumeration date
09/06/2005
Last updated
05/28/2015
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