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Theodore E Mollerud

  • Male

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):