Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MODERN KETAMINE CLINIC
Active OrganizationMODERN KETAMINE CLINIC is a Infusion Therapy Clinic organization located in MAPLE GROVE, Minnesota. NPI 1386366532 is currently active in the NPPES registry. Verify at CMS.
Infusion Therapy Clinic · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1386366532
- Provider Type
- Organization
- NPI Issued
- Sep 14, 2022 (3.9387651957414 yrs)
- Last Updated
- May 28, 2025
Practice Information
- Address
-
13792 REIMER DR NMAPLE GROVE, MN, 553112219Browse MN providers · Browse ZIP 55311
- Phone
- 7633472100
- Fax
- 7633337174
- Primary Specialty
-
Infusion Therapy Clinic
261QI0500X
- Additional Specialty
- Infusion Therapy Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.