Individual
BRIAN MOSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 1ST AVE NE, BUFFALO, MN 55313-1515
(612) 964-7700
Mailing address
2254 5TH ST SE, BUFFALO, MN 55313-4803
(612) 964-7700
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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