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Organization
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Active
Organization
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Active
Other names
Shakopee Dakota Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELAINE J DUNLAP CFNP (HEALTH DIRECTOR)
(952) 496-6151
Entity
Organization
Contact information
Practice address
2330 SIOUX TRL NW, PRIOR LAKE, MN 55372-9077
(952) 496-6150
(952) 233-4224
Mailing address
2330 SIOUX TRL NW, PRIOR LAKE, MN 55372-9077
(952) 496-6150
(952) 233-4224
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
111N00000X
Chiropractor
—
—
1223G0001X
General Practice Dentistry
—
—
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225200000X
Physical Therapy Assistant
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/13/2006
Last updated
01/31/2025
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