Individual
CHRISTOPHER L MOERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE., EAST BUILDING, NINTH FLOOR, MINNEAPOLIS, MN 55454
(612) 365-8100
(651) 220-6005
Mailing address
420 DELAWARE ST SE, MMC 484, MINNEAPOLIS, MN 55455
(612) 626-2778
(612) 626-2815
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
31321
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
593302100
—
MN
Enumeration date
01/26/2006
Last updated
12/14/2011
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