Modjeski, Nicholas John

Modjeski, Nicholas John is an individual health care provider with primary practice located at 855 Mankato Ave , Winona MN 55987-4868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Modjeski, Nicholas John can be contacted via phone (507) 454-3680.

Contact Information

Primary practice address
855 Mankato Ave Winona MN 55987-4868
Phone: (507) 454-3680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50915 Minnesota

Profile Details

NPI number 1912933516
LBN Legal business name Modjeski, Nicholas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jan 25th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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