Avera Mckennan
NPI #1174077275 in Worthington, Minnesota
Provider Information
- NPI Number
- 1174077275
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 8, 2016
- Last Updated
- Oct 24, 2018
Practice Location
- Address
- 702 10TH ST
- City
- Worthington
- State
- Minnesota
- ZIP Code
- 56187-2767
- Phone
- (507) 376-5535
Authorized Official
- Name
- DAVID FLICEK
- Title
- CEO/PRESIDENT
- Phone
- (605) 322-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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