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Organization

AVERA MCKENNAN

Active
Other names
Avera Medical Group Family Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE N NORTON (SR VICE PRESIDENT OF FINANCRE)
(605) 322-6375
Entity
Organization

Contact information

Practice address
2100 S. MARION RD., SIOUX FALLS, SD 57106-3646
(605) 322-1010
(605) 322-1011
Mailing address
PO BOX 86430, SIOUX FALLS, SD 57118-6430
(605) 322-4900
(605) 322-4910

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0716829
IA
Enumeration date
11/29/2006
Last updated
10/20/2016
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