Modern Ketamine Clinic
Modern Ketamine Clinic is an Infusion Therapy Clinic/Center in Maple Grove, Minnesota. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
13792 Reimer Dr NMaple Grove, MN 55311-2219
Phone: (763) 347-2100
Fax: (763) 333-7174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Infusion Therapy Clinic/Center (primary) | Taxonomy 261QI0500X |
|---|---|
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X |
Record details
| NPI number | 1386366532 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daniel Falvey — Md · (763) 347-2100 |
| NPI enumerated | September 14, 2022 |
| Last updated in NPPES | May 28, 2025 |
| Certification date | May 28, 2025 |
| Mailing address | 13792 Reimer Dr N, Maple Grove, MN 55311-2219 |