Organization
AVERA GRANITE FALLS
Active
Other names
AVERA MEDICAL GROUP GRANITE FALLS
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA STREIER (PRESIDENT/CEO)
(507) 537-9160
Entity
Organization
Contact information
Practice address
345 10TH AVE, GRANITE FALLS, MN 56241-1442
(320) 564-3111
Mailing address
300 S BRUCE ST, MARSHALL, MN 56258-1934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/23/2019
Last updated
06/30/2021
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