Organization
DONNALYN MOELLER, DPM,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNALYN MOELLER DPM (PRESIDENT)
(614) 272-8854
Entity
Organization
Contact information
Practice address
3131 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 272-8854
(614) 272-9200
Mailing address
3131 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 272-8854
(614) 272-9200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002995
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2791573
—
OH
01
—
DN0823
RAILROAD MEDICARE
OH
Enumeration date
04/19/2007
Last updated
06/22/2015
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