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Organization

AVERA ST MARYS

Active
Other names
Avera St Marys Hospital ER CRNA
Organization subpart
No

Provider details

NPI number
Authorized official
SHANTEL KREBS (PRESIDENT/CEO)
(605) 351-5916
Entity
Organization

Contact information

Practice address
801 E SIOUX AVE, PIERRE, SD 57501-3323
(605) 224-3100
Mailing address
PO BOX 860674, MINNEAPOLIS, MN 55486-0001

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
05/21/2025
Last updated
08/18/2025
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