Avera Mckennan
NPI #1922357839 in Worthington, Minnesota
Provider Information
- NPI Number
- 1922357839
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AVERA MCKENNAN
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Sep 6, 2012
- Last Updated
- Jun 3, 2015
Practice Location
- Address
- 1216 RYANS RD
- Address 2
- SUITE 2
- City
- Worthington
- State
- Minnesota
- ZIP Code
- 56187-1722
- Phone
- (507) 372-2921
Authorized Official
- Name
- KELLI VANGROUW
- Title
- CLINIC MANAGER
- Phone
- (507) 372-2921
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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