| Avera Medical Group Mcgreevy Brandon | |
|
1101 E Holly Blvd Brandon SD 57005-1426 | |
| (605) 582-3853 | |
| (605) 582-3855 |
| Full Name | Avera Medical Group Mcgreevy Brandon |
|---|---|
| Speciality | Family Medicine |
| Location | 1101 E Holly Blvd, Brandon, South Dakota |
| Authorized Official Name and Position | Julie N Norton (SR VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 6053227818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Mcgreevy Brandon Po Box 86430 Sioux Falls SD 57118-6430 Ph: (605) 322-4900 | Avera Medical Group Mcgreevy Brandon 1101 E Holly Blvd Brandon SD 57005-1426 Ph: (605) 582-3853 |
| NPI Number | 1285701870 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 05/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285701870 | NPI | - | NPPES |
| 0716829 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Sanford Clinic Family Medicine Brandon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-5820 Fax: 605-582-5823 | |
Chirosport Brandon, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 |