Organization
AVERA MARSHALL
Active
Other names
Avera Dialysis Marshall
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE STREIER (CEO)
(507) 537-9160
Entity
Organization
Contact information
Practice address
300 S BRUCE ST STE D, MARSHALL, MN 56258-1934
(507) 537-9200
Mailing address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
12/01/2022
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