Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Gynecologic Oncology Sioux Falls
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLICEK (CEO/PRESIDENT)
(605) 322-8000
Entity
Organization
Contact information
Practice address
1000 E. 23RD ST., STE. 350, SIOUX FALLS, SD 57105-2140
(605) 322-7535
(605) 322-7540
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
10/24/2018
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