Michael D Moen, M.D. Valid NPI

Individual provider · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Park Ridge, IL

NPI

1558351312

Type

Individual (Type 1)

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (Obstetrics & Gynecology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207VF0040X

License number

036-083401 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2005-10-24

Last updated

2018-08-08