Search › Michigan › 1223P0700X
Sergio Moeller Zevallos, DDS, MS
NPI 1790970663 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2509 S State St
Ann Arbor, MI 48104 - Phone
- (734) 662-7874
- Fax
- (734) 662-1518
- Organisation at this address
- Moeller, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223P0700X
1223P0700X
- Also registered as
- 122300000X
1223G0001X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-01
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 Michigan