Avera McKennan
Internal Medicine, Hematology & Oncology in Sioux Falls, SD. Organization (NPI-2).
NPI number1164780201
StatusActive
Last updated in NPPESApr 26, 2012
Details
- NPI
- 1164780201
- Entity type
- Organization (NPI-2)
- Legal business name
- Avera McKennan
- Organization subpart
- No
- Enumeration date
- Apr 26, 2012
- Last updated
- Apr 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | Yes |
Other names
- Avera Medical Group McHale Institute (Doing Business As)
Practice location
3720 W 69th StSioux Falls, SD 57108-8192
Phone 605-339-4464 · Fax 605-339-0309
Mailing address
2400 S Minnesota AveSte 100
Sioux Falls, SD 57105-3761
Phone 605-322-7510 · Fax 605-322-6475
Authorized official
Julie N Norton
Senior Vp Finance
6053226375
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