# PRAIRIE SURGICENTER LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053411280
- **Authorized official:** JOHN F STOCK M.D. (PRESIDENT)
- **Authorized official phone:** (320) 208-1818

## Contact information

- **Practice address:** 24 E 7TH ST, SUITE 100, MORRIS, MN 56267-1312
- **Practice address phone:** (320) 208-1818
- **Practice address fax:** (320) 208-1845
- **Mailing address:** 24 E 7TH ST, SUITE 100, MORRIS, MN 56267-1312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 5887419 | MN | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020