Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW MOEN, D.P.M.
ActiveANDREW MOEN, D.P.M. is a Podiatrist healthcare provider located in DETROIT LAKES, Minnesota. NPI 1073843587 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1073843587
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2010 (16.634170331874 yrs)
- Last Updated
- Dec 7, 2011
- Licenses
-
TP-169 (MN)844 (MN)
Practice Information
- Address
-
1027 WASHINGTON AVEDETROIT LAKES, MN, 565013409Browse MN providers · Browse ZIP 56501
- Phone
- 2188475611
- Fax
- 2188470881
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
Other Podiatrist Providers in DETROIT LAKES, MN
| Name | Credential | NPI |
|---|---|---|
| DR. BENJY OLSEN | DPM | 1205889417 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.