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Moderni Spine Pllc
Pain Clinic/Center in Minnetonka, Minnesota
NPI 1275231698

Moderni Spine Pllc is a Pain Clinic/Center based in Corcoran, MN and is specialized in Pain. Moderni Spine Pllc practices in Minnetonka, MN. The NPI Number for Moderni Spine Pllc is 1275231698 and holds a License No. (Minnesota).

The current practice location address for Moderni Spine Pllc is 3454 County Road 101, Minnetonka, MN and can be reached out via phone at 651-323-0850.

Location: 3454 County Road 101, Minnetonka, MN, 55340-4112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275231698
Provider Name
Moderni Spine Pllc
Credential
Provider Entity Type
Organization
Address
3454 County Road 101, Minnetonka, MN, 55340-4112
Phone Number
651-323-0850
Fax Number
Provider Enumeration Date
02/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3454 County Road 101
City
Minnetonka
State
Minnesota
Zip
55345-1016
Phone Number
651-323-0850
Fax Number
person
Provider Business Mailing Address Details
Address
3454 County Road 101
City
Minnetonka
State
Minnesota
Zip
55345-1016
Phone Number
651-323-0850
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
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Definition
Definition to come...
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