MODERN THERAPEUTICS PLLC NPI 1356159891

NPI Information

  • NPI: 1356159891
  • Provider Name: MODERN THERAPEUTICS PLLC
  • Classification: Anesthesiology - 207L00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 24D2309900
  • Address: 200 SCHILLING DR S
    DUNDAS, MN
    ZIP 55019
  • Phone: (612) 488-2248

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NPI Details

MODERN THERAPEUTICS PLLC is an anesthesiology in Dundas, MN. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. MODERN THERAPEUTICS PLLC NPI is 1356159891. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

200 SCHILLING DR S
DUNDAS, MN
ZIP 55019-075
Phone: (612) 488-2248

The provider's authorized official is Andrea Berube .
The authorized official title is Owner and has the following contact phone number (612) 616-7731.

The CLIA number assigned to this NPI record is 24D2309900 - other - ketamine clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2024 and was last updated on 3/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyYes
2261QM0850XClinic/CenterAdult Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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