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Charles S Modlin, MD
Urology Physician in Lafayette, Indiana
NPI 1578527891

Charles S Modlin is a Urology Physician based in Indianapolis, IN. Charles S Modlin practices in Lafayette, IN and has the professional credentials of MD. The NPI Number for Charles S Modlin is 1578527891 and holds a License No. 35064578M (Indiana).

The current practice location address for Charles S Modlin is 5165 Mccarty Ln, Lafayette, IN and can be reached out via phone at 765-448-8000 and via fax at 765-448-7619. You can also correspond with Charles S Modlin through the mailing address at 250 N SHADELAND AVE, INDIANAPOLIS, IN - 46219-4959 (mailing address contact number: ).

Location: 5165 Mccarty Ln, Lafayette, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578527891
Provider Name
Charles S Modlin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5165 Mccarty Ln, Lafayette, IN, 46219-4959
Phone Number
765-448-8000
Fax Number
765-448-7619
Provider Enumeration Date
04/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0232500 05 OH
815500567 01 IN MEDICARE PTAN
300061295 05 IN
institution
Provider Business Practice Location Address Details
Address
5165 Mccarty Ln
City
Lafayette
State
Indiana
Zip
47905-8764
Phone Number
765-448-8000
Fax Number
765-448-7619
person
Provider Business Mailing Address Details
Address
250 N Shadeland Ave
City
Indianapolis
State
Indiana
Zip
46219-4959
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
35064578M (Ohio)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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