Avera Mckennan
NPI #1700062213 in Worthington, Minnesota
Provider Information
- NPI Number
- 1700062213
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AVERA MCKENNAN
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 15, 2008
- Last Updated
- Apr 1, 2013
Practice Location
- Address
- 1216 RYANS RD
- City
- Worthington
- State
- Minnesota
- ZIP Code
- 56187-1722
- Phone
- (507) 372-2921
Authorized Official
- Name
- KELLI VAN GROUW
- Title
- CLINIC MANAGER
- Phone
- (507) 372-2921
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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