Organization
AVERA ST. LUKE'S
Active
Other names
Avera Medical Group Neurology Aberdeen
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD FORKEL (PRESIDENT & CEO)
(602) 622-5125
Entity
Organization
Contact information
Practice address
201 S LLOYD ST, SUITE E202, ABERDEEN, SD 57401-4552
(605) 622-2605
(605) 622-2606
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(602) 622-2605
(605) 622-2606
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10525
SD
Other
Enumeration date
07/23/2009
Last updated
03/31/2016
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