Organization
AVERA MCKENNAN
Active
Parent organization
AVERA MCKENNAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA MCKENNAN
Authorized official
RONALD PLACE MD (REGIONAL PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
5708 SUNNYBROOK CT, SIOUX CITY, IA 51106-4254
(605) 217-2867
Mailing address
PO BOX 1430, DAKOTA DUNES, SD 57049-1430
(605) 217-2867
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/10/2026
Last updated
08/10/2026
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