Avera Mckennan
NPI #1083679625 in Miller, South Dakota
Provider Information
- NPI Number
- 1083679625
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 18, 2006
- Last Updated
- Sep 14, 2023
Practice Location
- Address
- 300 W 5TH ST
- City
- Miller
- State
- South Dakota
- ZIP Code
- 57362-1238
- Phone
- (605) 853-0158
Authorized Official
- Name
- RONALD J. PLACE, MD
- Title
- PRESIDENT/CEO
- Phone
- (605) 322-7903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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