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Moulton Group PC

NPI 1053395798ActiveOrganization· Specialist· Monroe, MI

Specialist in Monroe, Michigan, registered in NPPES in December 2005. The authorized official on file is Paulette Patricia Moulton, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1053395798
StatusActive
Entity typeOrganization
NPI issuedDec 6, 2005
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X4301042774MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MI)

Medicare sources and data years

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