Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL JOHN MODROW
Active Sole ProprietorMR. MICHAEL JOHN MODROW is a Surgical Physician Assistant healthcare provider located in RALEIGH, North Carolina. NPI 1740448182 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · RALEIGH, NC
Registration Details
- NPI Number
- 1740448182
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2008 (18.206413143893 yrs)
- Last Updated
- Mar 9, 2021
- Licenses
-
102199 (NC)1032066 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3000 NEW BERN AVERALEIGH, NC, 276101231Browse NC providers · Browse ZIP 27610
- Phone
- 9193507601
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
Other Surgical Physician Assistant Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| MELISSA ROGERS | PA-C | 1194707638 |
| MR. JON DABU VERCELES | PA-C | 1841263324 |
| ANN E WHITAKER | PA | 1386618379 |
| MS. MICHELLE MARCELLA MCMOON | PA-C | 1568439909 |
| MR. DANIEL CRAIG SMYRSKI | PA C | 1720031966 |
| MR. NEAL RICHARD COLE | PAC | 1932152972 |
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.