Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Parent organization
AVERA MCKENNAN
Other names
AMG Occupational Medicine Sioux Falls
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA MCKENNAN
Authorized official
JULIE NORTON (SR VP FINANCE)
(605) 322-7818
Entity
Organization
Contact information
Practice address
4928 N CLIFF AVE, SIOUX FALLS, SD 57104-0563
(605) 332-5100
(605) 322-5101
Mailing address
4928 N CLIFF AVE, SIOUX FALLS, SD 57104-0563
(605) 332-5100
(605) 322-5101
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
5335
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33732
IA MEDICAL LICENSE
IA
01
—
5335
SD MEDICAL LICENSE
SD
Enumeration date
03/29/2007
Last updated
06/03/2013
Update your record
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