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NPI Code Detail

MEDICARE: PRAIRIECARE LLC

MEDICARE: PRAIRIECARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
21041C0700XClinical Social Worker
3163WP0808XPsychiatric/Mental Health Registered Nurse
42084P0800XPsychiatry Physician
5103TC2200XClinical Child & Adolescent Psychologist
6106H00000XMarriage & Family Therapist
7283Q00000XPsychiatric Hospital

General Provider Information

NPI Number : 1215182928
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRAIRIECARE LLC
Provider Business Mailing Address
First Line : 9400 ZANE AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-1814
Country : US
Telephone Number : 763-762-8800
Fax Number : 763-315-4669
Provider Business Practice Location Address
First Line : 9400 ZANE AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443
Country : US
Telephone Number : 763-762-8800
Fax Number : 763-315-4669
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEPHEN R. SETTERBERG
Credential : MD
Telephone Number : 952-826-8378
Provider Enumeration Date : 11/21/2008
Last Update Date : 06/04/2026

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Directions to “PRAIRIECARE LLC ” Practice Location

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