| NPI | 1346671492 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP UROLOGY MITCHELL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2020-08-20 |