IndividualActive
Alexandra Modell, L.AC.
NPI 1063043875 · Acupuncturist · Glendale, WI
Provider details
- NPI number
- 1063043875
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- L.AC.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 948-55 (WI)
Practice location
5225 N Ironwood Rd Ste 102
Glendale, WI 53217-4909
Phone: (414) 491-2084
Mailing address
5225 N Ironwood Rd Ste 102
Glendale, WI 53217-4909
Registry dates
- Enumerated
- 2020-01-30
- Last updated
- 2020-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.