Michael John Modrow Valid NPI

Individual provider · Surgical Physician Assistant · Raleigh, NC

NPI

1740448182

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

102199 (NC)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-05-31

Last updated

2021-03-09