Organization
AVERA MARSHALL
Active
Other names
Avera Medical Group Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE STREIER (CEO)
(507) 537-9160
Entity
Organization
Contact information
Practice address
1104 E COLLEGE DR, MARSHALL, MN 56258-4270
(507) 337-2926
Mailing address
1104 E COLLEGE DR, MARSHALL, MN 56258-4270
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019545600
—
MN
Enumeration date
05/27/2009
Last updated
12/02/2022
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