NPI | 1083051817 |
---|---|
Doing Business As | AVERA MEDICAL GROUP PHYSICAL MEDICINE & REHAB |
Entity Type | Organization |
Authorized Contact | DANIEL J BJERKNES President/CEO 605-622-5125 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2013-06-03 |
Last Update Date | 2023-04-20 |