Avera Mckennan

NPI #1174671242 in Garretson, South Dakota

Provider Information

NPI Number: 1174671242
Entity Type: Organization
Organization Name: Avera Mckennan
Primary Specialty: Family Medicine
Enumeration Date: Jan 8, 2007
Last Updated: Mar 21, 2011

Practice Location

Address: 980 4TH STREET
City: Garretson
State: South Dakota
ZIP Code: 57030-0250
Phone: (605) 594-3431

Authorized Official

Name: JULIE N. NORTON
Title: SENIOR VICE PRESIDENT FINANCE
Phone: (605) 322-6375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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