Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063401297 Individual Practitioner Male Practitioner

Dr. Clinton T Moen , MD

Specialist • Duluth, MN

Professional Overview & Biography Verified Profile Summary

Dr. Clinton Moen, MD is a registered healthcare professional specializing in Specialist in Duluth, MN. Practice services are available at 2711 E 5TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2711 E 5th St

Duluth, MN 55812

Telephone 2187240649

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Duluth, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 34.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Duluth, MN (877 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WI 25367

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30451200 (WI)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 20, 2015

NPI status registered as active in NPPES database

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Updated Practice Location January 20, 2015

Registered at 2711 E 5TH ST, DULUTH, MN 55812 (Tel: 2187240649)

📍
Updated Business Mailing Address January 20, 2015

Registered at 2711 E 5TH ST, DULUTH, MN 558121538 (Tel: 2187240649)

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Provider Name / Credentials Updated January 20, 2015

Recorded as CLINTON MOEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2015

Specialist (License #25367 in WI)

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Initial NPI Registration & Enumeration October 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063401297
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2005
Last Update: January 20, 2015
Sole Proprietor: No

Mailing Address

2711 E 5th St

Duluth, MN 558121538

Phone: 2187240649

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.