Organization
MODERNI SPINE PLLC
Active
Organization
MODERNI SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA C KONRATH PA (CHIEF OFFICER)
(651) 440-0939
Entity
Organization
Contact information
Practice address
3454 COUNTY ROAD 101, MINNETONKA, MN 55345-1016
(651) 323-0850
Mailing address
3454 COUNTY ROAD 101, MINNETONKA, MN 55345-1016
(651) 440-0939
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
06/07/2025
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