Avera Mckennan

NPI #1417246901 in Sioux Falls, South Dakota

Provider Information

NPI Number: 1417246901
Entity Type: Organization
Organization Name: Avera Mckennan
Primary Specialty: Ophthalmology
Enumeration Date: Apr 5, 2011
Last Updated: Nov 25, 2019

Practice Location

Address: 911 E 20TH ST STE 101
City: Sioux Falls
State: South Dakota
ZIP Code: 57105-1043
Phone: (605) 322-3790

Authorized Official

Name: DAVID FLICEK
Title: SENIOR VP OF FINANCE
Phone: (605) 322-7915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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