Basic Information
| Provider Information | |||||||||
| NPI: | 1760660922 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MOSES | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | TERESE MACMULLAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 CENTURY AVE SE | ||||||||
| Address2: | |||||||||
| City: | HUTCHINSON | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553503108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3205872020 | ||||||||
| FaxNumber: | 3204844686 | ||||||||
| Practice Location | |||||||||
| Address1: | 3 CENTURY AVE SE | ||||||||
| Address2: | |||||||||
| City: | HUTCHINSON | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553503108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3205872020 | ||||||||
| FaxNumber: | 3204844686 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2008 | ||||||||
| LastUpdateDate: | 06/20/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 52011 | MN | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.