| Mitchell David Moe, MD | |
|
300 W Conan St, Ely, MN 55731-1145 | |
| (218) 365-7900 | |
| Not Available |
| Full Name | Mitchell David Moe |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 300 W Conan St, Ely, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023753415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 74980 (Minnesota) | Primary |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell David Moe, MD 300 W Conan St, Ely, MN 55731-1145 Ph: (218) 365-7900 | Mitchell David Moe, MD 300 W Conan St, Ely, MN 55731-1145 Ph: (218) 365-7900 |
Walter Bertram Leino, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Conan St, Ely, MN 55731 Phone: 218-365-7900 | |
Brielle A Loe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 West Conan St., Duluth Clinic-ely, Ely, MN 56636 Phone: 218-365-7900 | |
Joseph Anthony Bianco, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Conan St, Ely, MN 55731 Phone: 218-365-7900 | |
Sam P Rice, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 328 W Conan St, Ely, MN 55731 Phone: 651-232-7348 Fax: 651-232-6665 | |
Julie Dawn Houle, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1121 E Madison St, Ely, MN 55731 Phone: 218-235-9016 | |
Dr. Thomas Gerald Schwinghamer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2232 Passi Rd, Ely, MN 55731 Phone: 530-305-7388 Fax: 530-878-7806 |