Clinton T Moen is a Specialist in Duluth, Minnesota. Clinton T Moen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Clinton T Moen is 1063401297. The last update date is 2015-01-20.
Clinton T Moen's current location address is 2711 E 5th St, Duluth, Minnesota. You can contact this provider via phone number 2187240649. The mailing address for Clinton T Moen is 2711 E 5th St, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton T Moen |
|---|---|
| Address | 2711 E 5th St, Duluth, Minnesota |
| Phone Number | 2187240649 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063401297 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2015-01-20 |
Provider Mailing Address Detail
| Address | 2711 E 5th St |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 558121538 |
| Phone Number | 2187240649 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25367 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30451200 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clinton T Moen by the Centers for Medicare & Medicaid Services?
The Clinton T Moen has been issued the NPI (National Provider Identifier) 1063401297 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Clinton T Moen is geographically located?
The Clinton T Moen is physically situated at the following location: 2711 E 5Th St, Duluth, MN, 558121538.
What is Clinton T Moen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clinton T Moen's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063401297 to Clinton T Moen?
The Clinton T Moen received its 1063401297 assignment from the Centers for Medicare & Medicaid Services on 2005-10-20.
As of what date was the information regarding Clinton T Moen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clinton T Moen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-20.
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