Organization
AVERA MCKENNAN
Active
Other names
CORE Orthopedics Avera Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE N NORTON (SENIOR VP OF FINANCE)
(605) 322-6375
Entity
Organization
Contact information
Practice address
2908 E. 26TH ST., SIOUX FALLS, SD 57103-4034
(605) 336-2638
(605) 334-3500
Mailing address
2908 E. 26TH ST., SIOUX FALLS, SD 57103-4034
(605) 336-2638
(605) 334-3500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1202730029
SD MEDICARE DME
SD
Enumeration date
11/02/2010
Last updated
08/29/2012
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