Individual
ALBERT C MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
737 N GRAND AVE, LANSING, MI 48906-5160
(517) 372-0500
(517) 482-3220
Mailing address
737 N GRAND AVE, LANSING, MI 48906-5160
(517) 372-0500
(517) 482-3220
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301039169
MI
208C00000X
Colon & Rectal Surgery Physician
Primary
4301039169
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2624686
—
MI
Enumeration date
12/06/2005
Last updated
09/20/2011
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