Individual
MR. CURT WILLIAM MODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1440 DUCKWOOD DR, EAGAN, MN 55122-1451
(651) 688-7857
(651) 688-7855
Mailing address
14385 CORMORANT WAY, ROSEMOUNT, MN 55068-7113
(651) 423-4662
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
1635
MN
Other
Enumeration date
04/11/2007
Last updated
08/01/2007
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