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Ian Modd
NPI 1629845516 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1607 Windsor Rd Ne
Massillon, OH 44646 - Phone
- (234) 207-1698
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio