Organization
AVERA MCKENNAN
Active
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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