Alexandra Modell, L.AC.

NPI #1063043875 in Glendale, Wisconsin

Provider Information

NPI Number: 1063043875
Entity Type: Individual
Name: Alexandra Modell, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Jan 30, 2020
Last Updated: Jan 30, 2020

Practice Location

Address: 5225 N IRONWOOD RD STE 102
City: Glendale
State: Wisconsin
ZIP Code: 53217-4909
Phone: (414) 491-2084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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