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Organization

AVERA MCKENNAN

Active
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Organization

AVERA MCKENNAN

Active
Other names
Avera Medical Group Rheumatology Sioux Falls
Organization subpart
No

Provider details

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

Contact information

Practice address
6100 S LOUISE AVE STE 1130, SIOUX FALLS, SD 57108-6021
(605) 504-1600
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Enumeration date
06/11/2008
Last updated
11/01/2019
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