Individual
MR. MICHAEL L MOEN
Active
Individual
MR. MICHAEL L MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005012338
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619937893
—
MO
01
—
440552485
TRICARE
MO
01
—
P01034638
MCR RR
MO
Enumeration date
03/23/2006
Last updated
02/13/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up