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Organization
PRAIRIE SURGICENTER LLP
Active
Organization
PRAIRIE SURGICENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F STOCK M.D. (PRESIDENT)
(320) 208-1818
Entity
Organization
Contact information
Practice address
24 E 7TH ST, SUITE 100, MORRIS, MN 56267-1312
(320) 208-1818
(320) 208-1845
Mailing address
24 E 7TH ST, SUITE 100, MORRIS, MN 56267-1312
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
5887419
MN
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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