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Organization
AVERA GETTYSBURG
Active
Organization
AVERA GETTYSBURG
Active
Other names
Avera Medical Group Gettysburg
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTEL KREBS (INTERIM CEO)
(605) 224-3144
Entity
Organization
Contact information
Practice address
606 E GARFIELD AVE STE C, GETTYSBURG, SD 57442-1325
(605) 765-2273
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-4933
(605) 504-9489
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/11/2019
Last updated
04/24/2023
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