Organization
AVERA MARSHALL
Active
Other names
Avera Medical Group Ivanhoe
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE STREIER (CEO)
(507) 537-9160
Entity
Organization
Contact information
Practice address
312 E GEORGE ST, IVANHOE, MN 56142-9707
(507) 694-1414
Mailing address
312 E GEORGE ST, IVANHOE, MN 56142-9707
(507) 694-1414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019545600
—
MN
Enumeration date
07/02/2013
Last updated
12/02/2022
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