Individual
DR. ROBERT M MODROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9495 KEILMAN ST, SAINT JOHN, IN 46373-8924
(219) 365-4001
Mailing address
9495 KEILMAN ST, P.O. BOX 81, SAINT JOHN, IN 46373-8924
(219) 365-4001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007638
IN
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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