| NPI | 1033405436 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP MCGREEVY 69TH & MINNESOTA PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JULIE N NORTON Senior Vice President Of Finance 605-322-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2012-05-16 |