| Michael J Moller Pa | |
|
900 6th St N Suite 102 Hudson WI 54016-7171 | |
| (715) 386-0856 | |
| (715) 386-0948 |
| Full Name | Michael J Moller Pa |
|---|---|
| Speciality | Psychologist |
| Location | 900 6th St N, Hudson, Wisconsin |
| Authorized Official Name and Position | Michael J Moller (OWNER) |
| Authorized Official Contact | 7153860856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Moller Pa 900 6th St N Suite 102 Hudson WI 54016-7171 Ph: (715) 386-0856 | Michael J Moller Pa 900 6th St N Suite 102 Hudson WI 54016-7171 Ph: (715) 386-0856 |
| NPI Number | 1992000657 |
|---|---|
| Provider Enumeration Date | 01/11/2011 |
| Last Update Date | 01/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992000657 | NPI | - | NPPES |
| 880824400 | Medicaid | MN | |
| 39739300 | Medicaid | WI |
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