John P. Modrzynski, M.D.

NPI #1962475434 in Wautoma, Wisconsin

Provider Information

NPI Number: 1962475434
Entity Type: Individual
Name: John P. Modrzynski, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Feb 7, 2006
Last Updated: Mar 17, 2018

Practice Location

Address: N2934 STATE ROAD 22
City: Wautoma
State: Wisconsin
ZIP Code: 54982-5267
Phone: (920) 787-4613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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