| Name: | Prior Lake Clinic |
| Jurisdiction: | Minnesota |
| Legal type: | Assumed Name |
| Status: | Inactive |
| Date formed: | 03 Oct 1983 (41 years ago) |
| Company Number: | 544181e4-9bd4-e011-a886-001ec94ffe7f |
| File Number: | 30698 |
| Principal Place of Business Address: | 16268 Walker Ave SE, Prior Lake, MN 55372, USA |
| ZIP code: | 55372 |
| County: | Scott County |
| Place of Formation: | Minnesota |
| Name | Role | Address |
|---|---|---|
| John P Decker,, M.D. | Aplicant | 14655 Galaxie Ave, Apple Valley, MN 55124 |
| Peter C Frederixon,, M.D. | Aplicant | 14655 Galaxie Ave, Apple Valley, MN 55124 |
| David V Mass,, M.D. | Aplicant | 14655 Galaxie Ave, Apple Valley, MN 55124 |
| Mark Messingham,, M.D. | Aplicant | 14655 Galaxie Ave, Apple Valley, MN 55124 |
| Kenneth G Pallas,, M.D. | Aplicant | 14655 Galaxie Ave, Apple Valley, MN 55124 |
| David R Widdifield,, M.D. | Aplicant | 14655 Galaxie Ave, Apple Valley, MN 55124 |
| E John English,, M.D. | Aplicant | 14655 Galaxie Ave, Apple Valley, MN 55124 |
| Filing Name | Filing date |
|---|---|
| Original Filing - Assumed Name (Business Name: Prior Lake Clinic) | 1983-10-03 |
Date of last update: 04 Oct 2024
Sources: Minnesota's Official State Website
