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Organization

AVERA MCKENNAN

Active
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Organization

AVERA MCKENNAN

Active
Other names
Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID FLICEK (CEO/PRESIDENT)
(605) 322-8000
Entity
Organization

Contact information

Practice address
1301 S. CLIFF AVE., STE. 401, SIOUX FALLS, SD 57105-1053
(605) 322-7300
(605) 322-7301
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—

Other

Enumeration date
02/27/2006
Last updated
10/24/2018
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