Organization
AVERA ST. MARY'S
Active
Other names
Avera Medical Group Anesthesiology Pierre
Organization subpart
No
Provider details
NPI number
Authorized official
MIKEL HOLLAND (CEP/PRESIDENT)
(605) 224-3144
Entity
Organization
Contact information
Practice address
100 MAC LN, PIERRE, SD 57501-3391
(605) 224-5901
Mailing address
100 MAC LN, PIERRE, SD 57501-3391
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
07/15/2022
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