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Organization
AVERA ST. LUKE'S
Active
Organization
AVERA ST. LUKE'S
Active
Other names
Avera Medical Group Ipswich
Organization subpart
No
Provider details
NPI number
Authorized official
TODD FORKEL (PRESIDENT AND CEO)
(605) 622-5125
Entity
Organization
Contact information
Practice address
501 BLOEMENDAAL DRIVE, IPSWICH, SD 57451
(605) 622-2857
(605) 622-2859
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2857
(605) 622-2859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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