Individual
MICHELLE MODLINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
39465 W 14 MILE RD, NOVI, MI 48377-1600
(877) 906-9699
Mailing address
39465 W 14 MILE RD, NOVI, MI 48377-1600
(877) 906-9699
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704211531
MI
Other
Enumeration date
12/22/2014
Last updated
06/22/2023
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