Avera Mckennan

NPI #1093908501 in Sioux Falls, South Dakota

Provider Information

NPI Number: 1093908501
Entity Type: Organization
Organization Name: Avera Mckennan
Primary Specialty: Neurological Surgery
Enumeration Date: Aug 20, 2007
Last Updated: Mar 12, 2012

Practice Location

Address: 1100 E 21ST ST
Address 2: STE 220
City: Sioux Falls
State: South Dakota
ZIP Code: 57105-1020
Phone: (605) 322-4825

Authorized Official

Name: JULIE N NORTON
Title: SENIOR VP OF FINANCE
Phone: (605) 322-6375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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