Search › Missouri › 363LF0000X
Michael Moldenhauer, NP-C
NPI 1275837551 · on the registry since 2010
Practice
- Address
- 624 Old Saint Marys Rd
Suite A
Perryville, MO 63775 - Phone
- (573) 547-3232
- Fax
- (573) 547-3231
- Organisation at this address
- Professional Clinics Llc
Professional Clinics, Llc
Southeast Missouri Hospital Physicians, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri