Organization
AVERA ST. LUKE'S
Active
Other names
Avera Medical Group Neurosurgery Aberdeen
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE STREIER (VICE PRESIDENT)
(605) 622-2807
Entity
Organization
Contact information
Practice address
310 S PENN ST, SUITE 203, ABERDEEN, SD 57401
(605) 622-2607
(602) 622-2608
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2607
(605) 622-2608
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
10525
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10935
—
ND
Enumeration date
07/28/2009
Last updated
08/16/2018
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