Theodore E Mollerud
Medical Specialty
Professional ID
- NPI: 1770539827
- PECOS ID: 5193756344
- Enrollment ID: I20050826000581
- Credential(MD, DO, DPM): AU
- Medical School:
- Medical School Graduation Year: 1969
Medical Practices
- Organization Name: Everclear Hearing Products
- Group Practice ID assigned by PECOS: 4385911908
- Number of Group Practice member: 2
Location
- Address1: 2215 E Clairemont Ave
- Address2: Suite 2
- City: Eau Claire
- State: Wisconsin
- Zip Code: 54701
- Phone Number: (715)831-0289
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):