MR. Curt William Modell, ATC

NPI #1902029671 in Eagan, Minnesota

Provider Information

NPI Number: 1902029671
Entity Type: Individual
Name: MR. Curt William Modell, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: ATC
Enumeration Date: Apr 11, 2007
Last Updated: Aug 1, 2007

Practice Location

Address: 1440 DUCKWOOD DR
City: Eagan
State: Minnesota
ZIP Code: 55122-1451
Phone: (651) 688-7857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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