Avera Mckennan | |
911 E 20th St Ste 200 Sioux Falls SD 57105-1044 | |
(605) 504-0400 | |
(605) 504-0401 |
Full Name | Avera Mckennan |
---|---|
Speciality | Family Medicine - Obesity Medicine |
Location | 911 E 20th St Ste 200, Sioux Falls, South Dakota |
Authorized Official Name and Position | David William Flicek (PRESIDENT/CEO) |
Authorized Official Contact | 6053227915 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avera Mckennan Po Box 86370 Sioux Falls SD 57118-6370 Ph: () - | Avera Mckennan 911 E 20th St Ste 200 Sioux Falls SD 57105-1044 Ph: (605) 504-0400 |
NPI Number | 1457096133 |
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Provider Enumeration Date | 04/28/2022 |
Last Update Date | 04/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457096133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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