NPI | 1376831933 |
---|---|
Doing Business As | AVERA MEDICAL GROUP EAR, NOSE, AND THROAT ABERDEEN |
Entity Type | Organization |
Authorized Contact | DANIEL J BJERKNES President/CEO 605-622-5125 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SD 10525) |
Enumeration Date | 2011-07-18 |
Last Update Date | 2024-05-22 |