Individual
DR. VICTOR MOULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
55721
MN
207L00000X
Anesthesiology Physician
BP10030726
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329008201
—
TX
05
—
329008202
—
TX
01
—
8EA727
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/01/2010
Last updated
05/15/2014
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