| NPI | 1346216074 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP DERMATOLOGY SIOUX FALLS |
| Entity Type | Organization |
| Authorized Contact | DAVID FLICEK CEO/President 605-322-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-07-31 |