| Modern Therapeutics Pllc | |
|
200 Schilling Dr S Dundas MN 55019-4075 | |
| (612) 488-2248 | |
| Not Available |
| Full Name | Modern Therapeutics Pllc |
|---|---|
| Speciality | Anesthesiology |
| Location | 200 Schilling Dr S, Dundas, Minnesota |
| Authorized Official Name and Position | Andrea Berube (OWNER) |
| Authorized Official Contact | 6126167731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Therapeutics Pllc 200 Schilling Dr S Dundas MN 55019-4075 Ph: (612) 488-2248 | Modern Therapeutics Pllc 200 Schilling Dr S Dundas MN 55019-4075 Ph: (612) 488-2248 |
| NPI Number | 1356159891 |
|---|---|
| Provider Enumeration Date | 12/30/2024 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356159891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 207L00000X | Anesthesiology | (* (Not Available)) | Primary |