Individual
DR. RYAN EDWARD MODLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4123 DUTCHMANS LN, SUITE 401, LOUISVILLE, KY 40207-4707
(502) 394-6341
(502) 394-6340
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5119
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
TP313
KY
Other
Enumeration date
06/24/2006
Last updated
07/12/2016
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