Dr. Ellen M Modell, MD
Specialist in Edmonds, WA. Individual provider (NPI-1).
NPI number1962437491
StatusActive
Last updated in NPPESMay 13, 2014
Details
- NPI
- 1962437491
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ellen M Modell
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Last updated
- May 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MD00031609 | WA | Yes |
Practice location
7320 216th St SwSuite 310
Edmonds, WA 98026-8006
Phone 425-673-3800
Mailing address
7320 216th St SwSuite 310
Edmonds, WA 98026-8006
Phone 425-673-3800
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