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1336148022
MARK L MODIC
MIDDLEBURG HEIGHTS, OH
NPI
1336148022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: OH 049287)
Enumeration Date
2005-07-15
Last Update Date
2012-10-04
Business Address
-- MARK L MODIC MD
7255 OLD OAK BLVD SUITE C412
MIDDLEBURG HEIGHTS, OH 44130-3329
Phone number: 440-816-4546
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Mailing Address
-- MARK L MODIC MD
7255 OLD OAK BLVD SUITE C412
MIDDLEBURG HEIGHTS, OH 44130-3329
Phone number: 440-816-4546
Copy
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