Provider Demographics
NPI:1275772022
Name:MORAVEC, AMBER SEXE (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:SEXE
Last Name:MORAVEC
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:968 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-3014
Mailing Address - Country:US
Mailing Address - Phone:651-210-5261
Mailing Address - Fax:651-294-2319
Practice Address - Street 1:968 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-3014
Practice Address - Country:US
Practice Address - Phone:651-210-5261
Practice Address - Fax:651-294-2319
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5063111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor