Organization
NORTHLAND PRAIRIE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE POPPE NP (OWNER)
(320) 226-7178
Entity
Organization
Contact information
Practice address
544 SW 1ST ST, MONTEVIDEO, MN 56265-2106
(320) 321-1181
(320) 321-1388
Mailing address
544 SW 1ST ST, MONTEVIDEO, MN 56265-2106
(320) 321-1181
(320) 321-1388
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
06/20/2023
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