Individual
KRISTINA JILL MODICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 W SUPERIOR ST STE 1000, DULUTH, MN 55802-1818
(218) 481-7660
Mailing address
306 W SUPERIOR ST STE 1000, DULUTH, MN 55802-1818
(218) 481-7660
(218) 216-1452
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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