IndividualActive
Andrew Moen, D.P.M.
NPI 1073843587 · Podiatrist · Detroit Lakes, MN
Provider details
- NPI number
- 1073843587
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- TP-169 (MN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone: (218) 847-5611
Fax: (218) 847-0881
Approximate (ZIP-level) locationGet directions
Mailing address
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Registry dates
- Enumerated
- 2010-01-05
- Last updated
- 2011-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.