Organization
AVERA ST. LUKE'S
Active
Other names
Avera Obstetrics and Gynecology Aberdeen, Avera Medical Group Obstetrics & Gynecology Aberdeen
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J BJERKNES (PRESIDENT/CEO)
(605) 622-5125
Entity
Organization
Contact information
Practice address
310 S PENN ST STE 204, ABERDEEN, SD 57401-4553
(605) 225-1636
(605) 229-2434
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-4933
(605) 229-2434
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10525
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14981
ND MEDICAID
—
01
—
43D0407595
CLIA
SD
01
—
S101808
MEDICARE PTAN
SD
Enumeration date
12/14/2009
Last updated
04/21/2026
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