Healthcare Provider Details

I. General information

NPI: 1669386348
Provider Name (Legal Business Name): DR. JULIE MAE PRZEKWAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41773 STATE HIGHWAY 11
ROSEAU MN
56751-8407
US

IV. Provider business mailing address

41773 STATE HIGHWAY 11
ROSEAU MN
56751-8407
US

V. Phone/Fax

Practice location:
  • Phone: 218-469-2406
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number463617
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: