Individual
DR. MICHAEL DAVID MODZELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-7233
(585) 683-5085
Mailing address
1959 NE PACIFIC ST, BOX 357223, SEATTLE, WA 98195-7233
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MDRE.ML.61690131
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
04/08/2026
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