Individual
DR. ALEXANDRA NICOLE MODIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Mailing address
1521 SHIPSVIEW RD, ANNAPOLIS, MD 21409-5726
(301) 233-2070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT199800
PA
207RG0100X
Gastroenterology Physician
Primary
62009-20
WI
Other
Enumeration date
05/26/2011
Last updated
08/06/2016
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