Organization · Type 2 NPI

Shakopee Mdewakanton Sioux Community

Family Medicine Physician · Prior Lake, MN

NPI number 1013933381 Active

Practice location

2330 Sioux Trl NW
Prior Lake, MN 55372-9077

Call (952) 496-6150 Map

Fax (952) 233-4224

Other practice locations

  • 15000 Mystic Center Drive, Prior Lake, MN 55372 · (952) 233-2886
  • 2360 Sioux Trl NW, Prior Lake, MN 55372-9077 · (952) 233-2886
  • 2705 Wozani Ocanku NW, Prior Lake, MN 55372 · (952) 233-2886

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Chiropractor 111N00000XNone listed
General Practice Dentistry 1223G0001XNone listed
Optometrist 152W00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Occupational Therapy Assistant 224Z00000XNone listed
Physical Therapy Assistant 225200000XNone listed
Physician Assistant 363A00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

15 other providers at this address

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About NPI 1013933381

Shakopee Mdewakanton Sioux Community's National Provider Identifier is 1013933381, issued on Jul 13, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Prior Lake, MN. The record was last updated on Jan 31, 2025.