Moen, Amanda M

Moen, Amanda M is an individual health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Moen, Amanda M can be contacted via phone (612) 365-6777.

Contact Information

Primary practice address
2450 Riverside Ave Minneapolis MN 55454-1450
Phone: (612) 365-6777
Fax: (612) 365-8021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 107634 Minnesota
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 58414 Minnesota

Profile Details

NPI number 1154563401
LBN Legal business name Moen, Amanda M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Apr 4th, 2019 - about 7 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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