Avera Mckennan
NPI #1538527106 in Wagner, South Dakota
Provider Information
- NPI Number
- 1538527106
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Feb 10, 2016
- Last Updated
- Oct 4, 2023
Practice Location
- Address
- 310 W SD HIGHWAY 46
- City
- Wagner
- State
- South Dakota
- ZIP Code
- 57380-9304
- Phone
- (605) 384-4980
Authorized Official
- Name
- RONALD JOSEPH PLACE, MD
- Title
- PRESIDENT/CEO
- Phone
- (605) 322-7903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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