Most Relevant Information
Provider Data
| NPI Number: | 1003675414 |
| Provider Name: | CONSTANTINE MODGLIN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2024 |
| Last Updated: | 03/18/2024 |
Provider Practice Location
3909 WOODLEY RD
TOLEDO
OH
436061169
Practice Location Phone/Fax
| Phone: | 4197253330 |
| Fax: |
Provider Mailing Location
3909 WOODLEY RD
TOLEDO
OH
436061169
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |