# AVERA MCKENNAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Medical Group-Internal Medicine-Women's
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104187343
- **Authorized official:** JULIE NORTON (CFO)
- **Authorized official phone:** (605) 322-8000

## Contact information

- **Practice address:** 116 W 69TH ST, SIOUX FALLS, SD 57108-6418
- **Practice address phone:** (605) 322-1530
- **Practice address fax:** (605) 322-1531
- **Mailing address:** PO BOX 86430, SIOUX FALLS, SD 57118-6430
- **Mailing address phone:** (605) 322-4900
- **Mailing address fax:** (605) 322-4910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | SD | Yes |

## Other

- **Enumeration date:** 06/05/2012
- **Last updated:** 05/13/2014