Avera Mckennan

NPI #1851491690 in Windom, Minnesota

Provider Information

NPI Number: 1851491690
Entity Type: Organization
Organization Name: Avera Mckennan
Subpart: Yes (part of a larger organization)
Parent Organization: AVERA MCKENNAN
Primary Specialty: Family Medicine
Enumeration Date: Sep 22, 2006
Last Updated: Jun 10, 2021

Practice Location

Address: 2020 HOSPITAL DR., STE. 2
City: Windom
State: Minnesota
ZIP Code: 56101-1766
Phone: (507) 831-1703

Authorized Official

Name: DAVID WILLIAM FLICEK
Title: PRESIDENT/CEO
Phone: (605) 322-7915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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