Organization
AVERA MCKENNAN
Active
Other names
Avera Institute for Human Genetics
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JOSEPH PLACE MD (PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
3720 W 69TH ST, SIOUX FALLS, SD 57108-8192
(605) 322-3050
(605) 322-3051
Mailing address
PO BOX 5045, CBO - PRV ENRLMT PALM PLACE, SIOUX FALLS, SD 57117-5045
(605) 322-6428
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
10/04/2023
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