Individual
CALVIN JACOB MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3315 E MICHIGAN AVE STE 6, LANSING, MI 48912-4649
(810) 335-1902
Mailing address
3315 E MICHIGAN AVE STE 6, LANSING, MI 48912-4649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303220
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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