# AVERA MCKENNAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Medical Group Sibley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417250762
- **Authorized official:** JULIE N NORTON (SR.VP OF FINANCE)
- **Authorized official phone:** (605) 322-6375

## Contact information

- **Practice address:** 600 9TH AVE N, SIBLEY, IA 51249-1012
- **Practice address phone:** (712) 754-2900
- **Practice address fax:** (712) 754-2634
- **Mailing address:** 600 9TH AVE N, SIBLEY, IA 51249-1012
- **Mailing address phone:** (712) 754-2900
- **Mailing address fax:** (712) 754-2634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 12/08/2010
- **Last updated:** 12/08/2010