Moeller, Roy Roger

Moeller, Roy Roger is an individual health care provider with primary practice located at 7770 Dell Road Suite 140, Chanhassen MN 55317. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Moeller, Roy Roger can be contacted via phone (952) 934-9360.

Contact Information

Primary practice address
7770 Dell Road Suite 140 Chanhassen MN 55317
Phone: (952) 934-9360
Fax: (952) 975-0118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 396 Minnesota

Profile Details

NPI number 1225027378
LBN Legal business name Moeller, Roy Roger
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225027378 NPPES
Minnesota MEDICAID 203525100

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