Robert E Mcmanimon Moe in Winona - Addiction (substance Use Disorder)

Robert E Mcmanimon Moe - NPI 1447290374

Robert E Mcmanimon Moe is a Addiction (substance Use Disorder) in Winona, Minnesota. Robert E Mcmanimon Moe practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Robert E Mcmanimon Moe is 1447290374. The last update date is 2009-10-05.

Robert E Mcmanimon Moe's current location address is 131 Harriet St, Winona, Minnesota. You can contact this provider via phone number 5074542839 and fax number 5074545864. The mailing address for Robert E Mcmanimon Moe is 131 Harriet St, Winona, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert E Mcmanimon Moe
Address 131 Harriet St, Winona, Minnesota
Phone Number 5074542839
Fax Number 5074545864
Sole Proprietor N
Credentials BS, ADC-T

NPI Number Detail

NPI Number 1447290374
Provider Enumeration Date 2006-06-08
Last Updated Date 2009-10-05

Provider Mailing Address Detail

Address 131 Harriet St
City Winona
State Minnesota (MN)
Post Code 559873177
Phone Number 5074542839
Fax Number 5074545864

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No ADC-T
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39344000 WI --

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FAQs about Robert E Mcmanimon Moe

What is the unique identifier code issued to Robert E Mcmanimon Moe by the Centers for Medicare & Medicaid Services?

The Robert E Mcmanimon Moe has been assigned the NPI (National Provider Identifier) 1447290374. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Robert E Mcmanimon Moe's facilities are geographically located?

The facilities of Robert E Mcmanimon Moe are physically situated at the following location: 131 Harriet St, Winona, MN, 559873177.

What is the Robert E Mcmanimon Moe's specialty and taxonomy code?

The Robert E Mcmanimon Moe's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1447290374 to Robert E Mcmanimon Moe?

The Centers for Medicare & Medicaid Services assigned the 1447290374 to Robert E Mcmanimon Moe on 2006-06-08.

When was the information regarding Robert E Mcmanimon Moe most recently updated?

The details pertaining to the Robert E Mcmanimon Moe, including its address, specialty, and other relevant information, were last refreshed on 2009-10-05.

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