Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Milbank
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAM FLICEK (PRESIDENT/CEO)
(605) 322-7915
Entity
Organization
Contact information
Practice address
301 FLYNN DR, MILBANK, SD 57252-1508
(605) 432-4587
(605) 432-4580
Mailing address
PO BOX 5045 PFS PROV ENRLMT PALM PLACE, SIOUX FALLS, SD 57117-5045
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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