IndividualActive
Brance Modin, M.D.
NPI 1114948379 · Surgery Physician · Cloquet, MN
Provider details
- NPI number
- 1114948379
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 30495 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
512 Skyline Blvd
Cloquet, MN 55720-3787
Phone: (218) 879-1271
Approximate (ZIP-level) locationGet directions
Mailing address
512 Skyline Blvd
Cloquet, MN 55720-3787
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2020-12-02
- Certified
- 2020-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.