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Individual

DR. MICHAEL L MOELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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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