Individual
DR. EDWARD GREGORY MOELLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6640 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-3141
(208) 267-2202
Mailing address
802 2ND ST NW, BOWMAN, ND 58623-4483
(701) 523-5555
(701) 523-7107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14045
ND
207Q00000X
Family Medicine Physician
99946
MT
207Q00000X
Family Medicine Physician
Primary
M-13338
ID
Other
Enumeration date
04/02/2012
Last updated
07/21/2025
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