Individual
MICHAEL J. MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 DOCTORS CIR, BUILDING C, WILMINGTON, NC 28401-7403
(910) 763-5182
(910) 763-0291
Mailing address
PO BOX 602484, CHARLOTTE, NC 28260-2484
(910) 763-5182
(910) 763-0291
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110065489
RAILROAD MEDICARE
NC
05
—
1972597839
—
NC
05
—
8959929
—
NC
Enumeration date
09/07/2005
Last updated
02/19/2014
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