Individual
DR. MICHAEL A MOELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
Mailing address
2082 BLUESTREAM CT, DAYTON, OH 45459-7500
(937) 286-1662
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35062607M
OH
208M00000X
Hospitalist Physician
Primary
35.062607
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0885565
—
OH
Enumeration date
12/09/2005
Last updated
08/26/2020
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