Organization
THE MODERN EXPERIENCE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FALVEY MD (MEDICAL DIRECTOR)
(763) 464-9061
Entity
Organization
Contact information
Practice address
13792 REIMER DR N, MAPLE GROVE, MN 55311-2219
(763) 464-9061
(763) 333-7174
Mailing address
13792 REIMER DR N, MAPLE GROVE, MN 55311-2219
(763) 464-9061
(763) 333-7174
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
12/15/2025
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