| NPI | 1750481958 |
|---|---|
| Doing Business As | PRAIRIE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOHN F. STOCK Owner/President 320-589-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN 5706872) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |