Avera Marshall

NPI #1962859058 in Tyler, Minnesota

Provider Information

NPI Number: 1962859058
Entity Type: Organization
Organization Name: Avera Marshall
Subpart: Yes (part of a larger organization)
Parent Organization: AVERA MARSHALL
Primary Specialty: Dentist
Enumeration Date: May 18, 2016
Last Updated: Dec 2, 2022

Practice Location

Address: 197 N TYLER ST
City: Tyler
State: Minnesota
ZIP Code: 56178-1160
Phone: (507) 247-5591

Authorized Official

Name: DEBBIE STREIER
Title: CEO
Phone: (507) 537-9160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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