Organization
AVERA QUEEN OF PEACE
Active
Other names
Avera Medical Group Internal Medicine Delaney Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EKEREN (PRESIDENT/CEO)
(605) 668-8322
Entity
Organization
Contact information
Practice address
1115 E 5TH AVE, MITCHELL, SD 57301-2917
(605) 996-5553
Mailing address
1115 E 5TH AVE, MITCHELL, SD 57301-2917
(605) 996-5553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
08/17/2012
Last updated
08/20/2020
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