Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JOHN MODICH, D.C.
Active Sole ProprietorDR. MICHAEL JOHN MODICH, D.C. is a Chiropractor healthcare provider located in SIDE LAKE, Minnesota. NPI 1114237013 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · SIDE LAKE, MN
Registration Details
- NPI Number
- 1114237013
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2010 (15.871721458863 yrs)
- Last Updated
- Oct 14, 2010
- License
-
5322 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7636 PINE TREE RDSIDE LAKE, MN, 557818441Browse MN providers · Browse ZIP 55781
- Phone
- 2189694928
- Primary Specialty
-
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.