Organization
MODERN THERAPEUTICS PLLC
Active
Other names
Modern Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA BERUBE CRNA (OWNER)
(612) 616-7731
Entity
Organization
Contact information
Practice address
502 DIVISION ST S, NORTHFIELD, MN 55057-2020
(612) 488-2248
(612) 488-2248
Mailing address
502 DIVISION ST S, NORTHFIELD, MN 55057-2020
(612) 488-2248
(612) 488-2248
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/30/2024
Last updated
08/17/2026
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