Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Ear, Nose & Throat
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAM FLICEK (PRESIDENT/CEO)
(605) 322-7915
Entity
Organization
Contact information
Practice address
1417 S CLIFF AVE STE 300, SIOUX FALLS, SD 57105-1062
(605) 504-3000
(605) 504-3001
Mailing address
1417 S CLIFF AVE STE 300, SIOUX FALLS, SD 57105-1062
(605) 504-3000
(605) 504-3001
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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