1386366532 MODERN KETAMINE CLINIC
Infusion Therapy Clinic/Center
Active
Basic Information
- Organization Name
- MODERN KETAMINE CLINIC
- Enumeration Date
- September 14, 2022
- Last Update
- May 28, 2025
- Authorized Official
- DANIEL GREGORY FALVEY MD
MD
Phone: (763) 347-2100
Practice Location
- Address
- 13792 REIMER DR N
MAPLE GROVE, MN 553112219 - Phone
- (763) 347-2100
- Fax
- (763) 333-7174
Mailing Address
- Address
- 13792 REIMER DR N
MAPLE GROVE, MN 553112219 - Phone
- (763) 347-2100
- Fax
- (763) 333-7174
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Multi-Specialty Clinic/Center Multi-Specialty | 261QM1300X | Clinic/Center | N/A | N/A | No |
| Infusion Therapy Clinic/Center Infusion Therapy | 261QI0500X | Clinic/Center | N/A | N/A | Primary |
Frequently Asked Questions
What is MODERN KETAMINE CLINIC's NPI number?
MODERN KETAMINE CLINIC's NPI number is 1386366532.
Which doctor has NPI number 1386366532?
The doctor with NPI number 1386366532 is MODERN KETAMINE CLINIC.
What is MODERN KETAMINE CLINIC's practice address?
MODERN KETAMINE CLINIC's practice address is 13792 REIMER DR N, MAPLE GROVE, MN, 553112219.
Which doctor practices at 13792 REIMER DR N, MAPLE GROVE, MN, 553112219?
MODERN KETAMINE CLINIC practices at 13792 REIMER DR N, MAPLE GROVE, MN, 553112219.
What is MODERN KETAMINE CLINIC's phone number?
MODERN KETAMINE CLINIC's phone number is (763) 347-2100.
Who is (763) 347-2100?
(763) 347-2100 is the phone number for MODERN KETAMINE CLINIC.
What is MODERN KETAMINE CLINIC's specialty?
MODERN KETAMINE CLINIC's specialty is Infusion Therapy Clinic/Center.
What type of doctor is MODERN KETAMINE CLINIC?
MODERN KETAMINE CLINIC is a Infusion Therapy Clinic/Center.
Is MODERN KETAMINE CLINIC a Infusion Therapy?
Yes, MODERN KETAMINE CLINIC is a Infusion Therapy.
Is MODERN KETAMINE CLINIC still practicing?
Yes, MODERN KETAMINE CLINIC is currently practicing.
Is MODERN KETAMINE CLINIC accepting new patients?
MODERN KETAMINE CLINIC may be accepting new patients. Please call their office at (763) 347-2100 to inquire about availability.
Is NPI 1386366532 still active?
Yes, NPI 1386366532 is currently active.
Where does MODERN KETAMINE CLINIC practice?
MODERN KETAMINE CLINIC practices in MAPLE GROVE, MN.