Individual
DR. MICHAEL A MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23400 US HIGHWAY 160, WALSENBURG, CO 81089-8100
(719) 738-4590
Mailing address
23400 US HIGHWAY 160, WALSENBURG, CO 81089-8100
(719) 738-4590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35354
CO
Other
Enumeration date
08/04/2006
Last updated
02/14/2020
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