Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Dermatology Sioux Falls, Avera Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J PLACE (CEO/PRESIDENT)
(605) 322-8000
Entity
Organization
Contact information
Practice address
6701 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2591
(605) 322-6960
(605) 322-6961
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040219
BCBS
SD
01
—
040122003
PRIMEWEST
MN
05
—
0554733
—
IA
05
—
115182700
—
MN
01
—
370624200
DEPT OF LABOR
SD
01
—
396S9MI
BLUE PLUS
MN
01
—
83986
HEALTHPARTNERS
SD
01
—
9202239
DAKOTACARE
SD
Enumeration date
02/23/2006
Last updated
03/12/2026
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