Moeller, Matthew
Moeller, Matthew is an individual health care provider with primary practice located at 4100 Lake Dr Se Suite 205, Grand Rapids MI 49546-8292. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Moeller, Matthew can be contacted via phone (616) 267-7414.Contact Information
Primary practice address
4100 Lake Dr Se Suite 205
Grand Rapids MI 49546-8292
Phone: (616) 267-7414
Fax: (616) 267-7137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 4301085784 | Michigan |
Profile Details
| NPI number | 1386763704 |
|---|---|
| LBN Legal business name | Moeller, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Feb 18th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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