Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera eCARE
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAM FLICEK (CEO/PRESIDENT)
(605) 322-7915
Entity
Organization
Contact information
Practice address
4500 N LEWIS AVE, SIOUX FALLS, SD 57104-7111
(605) 322-6368
Mailing address
2300 E 54TH ST N, SIOUX FALLS, SD 57104-8809
(605) 322-6368
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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