Organization
AVERA MARSHALL
Active
Other names
Avera Medical Group Medical Oncology 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, MARSHALL, MN 56258-1934
(507) 532-9661
Mailing address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019545600
—
MN
Enumeration date
09/18/2014
Last updated
12/02/2022
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