Individual
DR. MICHAEL L MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 REED ST, SUITE 115, MANKATO, MN 56001-6410
(507) 625-4060
Mailing address
600 REED ST, SUITE 115, MANKATO, MN 56001-6410
(507) 625-4060
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
39584
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122727D113
U CARE OF MINNESOTA
MN
01
—
359J1MO
BLUE CROSS BLUE SHIELD
MN
05
—
531214100
—
MN
01
—
HP24849
HEALTH PARTNERS
MN
Enumeration date
07/28/2005
Last updated
10/01/2012
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