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Individual

JOHN A. MOLSTRE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1010 32ND AVE S, MOORHEAD, MN 56560-5001
(218) 233-7524
(218) 233-8627
Mailing address
3928 RIVER OAK CIR, MOORHEAD, MN 56560-5611

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0952
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1010547
PREFERREDONE
MN
01
116464
UCARE MINNESOTA
MN
01
5379
NORTH DAKOTA BLUE SHIELD
NC
01
57413MO
BLLUE SHIELD OF MINNESOTA
MN
01
61-20239
UNITED BEHAVIORAL HEALTH
FM
01
HP23079
HEALTHPARTNERS
MN
Enumeration date
06/14/2006
Last updated
07/08/2007
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