| Moden Medical Group Pllc | |
|
100 Robert Ave N Apt 101 Jasper MN 56144-1220 | |
| (888) 822-1184 | |
| (888) 877-3676 |
| Full Name | Moden Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Robert Ave N Apt 101, Jasper, Minnesota |
| Authorized Official Name and Position | Hojung Joseph Yoon (PRESIDENT/CEO) |
| Authorized Official Contact | 8888221184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moden Medical Group Pllc Po Box 583538 Pmb 93791 Minneapolis MN 55458-3538 Ph: (888) 822-1184 | Moden Medical Group Pllc 100 Robert Ave N Apt 101 Jasper MN 56144-1220 Ph: (888) 822-1184 |
| NPI Number | 1598174666 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 09/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598174666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42296 (Minnesota) | Primary |
Jasper Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Sherman Ave N, Jasper, MN 56144 Phone: 507-348-3071 Fax: 507-348-8626 |