Organization
MODERN MEDICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS WOIDERSKI (VICE PRESIDENT)
(231) 627-9949
Entity
Organization
Contact information
Practice address
127 N MAIN ST, CHEBOYGAN, MI 49721-1637
(231) 627-9949
(231) 627-8294
Mailing address
PO BOX 345, CHEBOYGAN, MI 49721-0345
(231) 627-9949
(231) 627-8294
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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