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2330 Sioux Trl Nw Prior Lake MN 55372-9077 | |
| (952) 496-6150 | |
| (952) 233-4224 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2330 Sioux Trl Nw, Prior Lake, Minnesota |
| Authorized Official Name and Position | Melaine J Dunlap (HEALTH DIRECTOR) |
| Authorized Official Contact | 9524966151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2330 Sioux Trl Nw Prior Lake MN 55372-9077 Ph: (952) 496-6150 | 2330 Sioux Trl Nw Prior Lake MN 55372-9077 Ph: (952) 496-6150 |
| NPI Number | 1013933381 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013933381 | NPI | - | NPPES |
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