Organization · NPI-2

Avera Mckennan

Obstetrics & Gynecology, Maternal & Fetal Medicine · Sioux Falls, SD

NPI number1205808748
StatusActive
Last updated in NPPESMar 12, 2026

Details

NPI
1205808748
Entity type
Organization (NPI-2)
Legal business name
Avera Mckennan
Organization subpart
No
Enumeration date
Feb 7, 2006
Certification date
Mar 12, 2026
Last updated
Mar 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine––Yes

Other names

  • Avera Maternal Fetal Medicine Sioux Falls (Doing Business As)

Practice location

1417 S. Cliff Ave.
Ste. 100
Sioux Falls, SD 57105-1063

Phone 605-322-8937 · Fax 605-322-8938

Mailing address

Po Box 86370
Sioux Falls, SD 57118-6370

Phone 605-322-7510 · Fax 605-322-6475

Authorized official

Ronald J Place
Ceo/President
6053228000

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