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Michael Modich, D.C
NPI 1114237013 · on the registry since 2010 · sole proprietor
Practice
- Address
- 7636 Pine Tree Rd
Side Lake, MN 55781 - Phone
- (218) 969-4928
Registry record
- Primary taxonomy
- Chiropractor
111N00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota