Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Comprehensive Weight Management
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAM FLICEK (PRESIDENT/CEO)
(605) 322-7915
Entity
Organization
Contact information
Practice address
911 E 20TH ST STE 200, SIOUX FALLS, SD 57105-1044
(605) 504-0400
(605) 504-0401
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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