Individual
JAMES HERMAN MOLLER
Active
Individual
JAMES HERMAN MOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
17125
MN
2080P0202X
Pediatric Cardiology Physician
17125
MN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
17125
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047141
—
MN
05
—
0251258
—
OH
05
—
0971549
—
MN
01
—
100924
UCARE
—
01
—
1009248
PREFERRED ONE
—
01
—
25-00282
MEDICA PRIMARY
—
01
—
25-21110
MEDICA CHOICE
—
01
—
2T299MO
BCBS-MN
MN
05
—
335772400
—
MN
01
—
604478
ARAZ
MN
01
—
A064
CHAMPUS/TRICARE
—
01
—
HP21998
HEALTHPARTNERS
—
Enumeration date
06/20/2006
Last updated
03/18/2016
Update your record
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