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Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Parent organization
AVERA MCKENNAN
Other names
Avera CNOS Sunnybrook DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA MCKENNAN
Authorized official
RONALD PLACE MD (REGIONAL PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
5708 SUNNYBROOK CT, SIOUX CITY, IA 51106-4254
(605) 217-2867
Mailing address
PO BOX 1430, DAKOTA DUNES, SD 57049-1430
(605) 217-2867
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
08/10/2026
Last updated
08/31/2026
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