Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Optometry Windom
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLICEK (CEO/PRESIDENT)
(605) 322-8000
Entity
Organization
Contact information
Practice address
1006 4TH AVE, WINDOM, MN 56101-1440
(507) 831-2429
Mailing address
1006 4TH AVE, WINDOM, MN 56101-1440
(507) 831-2429
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/08/2016
Last updated
10/24/2018
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