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Individual
MAXWELL JOSEPH MODRAK
Active
Individual
MAXWELL JOSEPH MODRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
36979
WV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/21/2019
Last updated
08/11/2026
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