Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Fulda, Avera McKennan dba Avera Fulda Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE NORTON (CFO/SVP)
(605) 322-7818
Entity
Organization
Contact information
Practice address
1216 RYANS RD, SUITE 1, WORTHINGTON, MN 56187-1722
(507) 372-2921
(507) 372-5789
Mailing address
201 N ST. PAUL AVE, FULDA, MN 56187-2343
(507) 372-2921
(507) 372-5789
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
05/31/2017
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