| NPI | 1114594868 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP MILBANK |
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM FLICEK President/CEO 605-322-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-06-09 |