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Contact Information

JOSHUA K MODDER, MD
1265 W AMERICAN DR STE 100
NEENAH, WI54956
 Phone: 920-886-8979
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JOSHUA K MODDER · (Male)

NPI Number 1356386270
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2006
Last updated 08/26/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • WI License # 50384-20
  • WI Medicaid 1356386270
Hospital affiliation(s)
  • APPLETON MED CTR - (Acute Care)
    1818 N MEADE ST
    APPLETON, WI 54911
  • ST ELIZABETH HSPTL - (Acute Care)
    1506 S ONEIDA ST
    APPLETON, WI 54915
  • THEDA CLARK MED CTR - (Acute Care)
    130 2ND ST
    NEENAH, WI 54956
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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