Individual
DR. WALTER WYATT MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 VETERANS DRIVE, VETERANS AFFAIRS MEDICAL CENTER, MINNEAPOLIS, MN 55417
(612) 725-2000
(612) 467-5971
Mailing address
1230 SPRUCE PLACE, MOUND, MN 55364-9626
(952) 471-7022
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14262
MN
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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