Individual provider · Type 1 NPI

Michael John Modrow

Surgical Physician Assistant · Raleigh, NC

NPI number 1740448182 Active

Practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Call (919) 350-7601 Map

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X102199 (NC)
Physician Assistant 363A00000X1032066 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1740448182

Michael John Modrow's National Provider Identifier is 1740448182, issued on May 31, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Raleigh, NC. The record was last updated on Mar 9, 2021.