| NPI | 1306031976 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP GROTON |
| Entity Type | Organization |
| Authorized Contact | DANIEL J BJERKNES President/CEO 605-622-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 10525) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2024-05-22 |