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Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Orthopedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD PLACE (CEO/PRESIDENT)
(605) 322-8000
Entity
Organization
Contact information
Practice address
6100 S LOUISE AVE STE 2100, SIOUX FALLS, SD 57108-6021
(605) 504-1100
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/07/2016
Last updated
01/30/2024
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