| NPI | 1205090206 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP UROLOGY ABERDEEN |
| Entity Type | Organization |
| Authorized Contact | DANIEL J BJERKNES President/CEO 605-622-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: SD 10525) |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2023-04-20 |