Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Pediatric Critical Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAM FLICEK (PRESIDENT/CEO)
(605) 322-7915
Entity
Organization
Contact information
Practice address
1417 S CLIFF AVE STE 201, SIOUX FALLS, SD 57105-1009
(605) 322-3440
(605) 322-3654
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-6408
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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