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Organization

WEST CENTRAL INTERNAL MEDICINE

Active
Other names
Prairie Medical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN F. STOCK M.D. (OWNER/PRESIDENT)
(320) 589-4008
Entity
Organization

Contact information

Practice address
24 E 7TH ST, MORRIS, MN 56267-1312
(320) 589-4008
(320) 589-4227
Mailing address
24 E 7TH ST, PO BOX 410, MORRIS, MN 56267-1312
(320) 589-4008
(320) 589-4227

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5706872
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0836930001
DMERC CLINIC #
MN
01
121703
UCARE CLINIC #
MN
01
30843
HEALTHPARTNERS CLINIC#
MN
01
3T172WE
BLUE CROSS CLINIC #
MN
01
CN5505
RAILROAD MEDICARE #
MN
Enumeration date
09/25/2006
Last updated
08/22/2020
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