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General NPI Number Information
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NPI Number | 1033650445
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Entity Type | Individual
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Provider Name | ALEXANDER MOLTER MD
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Gender | Male
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Dates
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Enumeration Date | 03/17/2017
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 615 10TH ST S
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City | LA CROSSE
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State | WI
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Zip | 54601-4768
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Country | US
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Telephone | 608-785-0940
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Fax | 734-786-4915
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Provider Business Mailing Address
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Address Line | 2200 GENOA BUSINESS PARK DR STE 100
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City | BRIGHTON
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State | MI
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Zip | 48114-5328
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Country | US
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Telephone | 517-492-0517
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 75377
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | EMC0006408
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License Number State | MI
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