Organization
AVERA MCKENNAN
Active
Parent organization
AVERA MCKENNAN
Other names
Avera Medical Group Worthington Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA MCKENNAN
Authorized official
KELLI VANGROUW (CLINIC MANAGER)
(507) 372-2921
Entity
Organization
Contact information
Practice address
1216 RYANS RD, SUITE 2, WORTHINGTON, MN 56187-1722
(507) 372-2921
(507) 372-5789
Mailing address
1216 RYANS RD, SUITE 2, WORTHINGTON, MN 56187-1722
(507) 372-2921
(507) 372-5789
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
06/03/2015
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