NPI | 1407330301 |
---|---|
Doing Business As | AVERA MEDICAL GROUP CARLSON |
Entity Type | Organization |
Authorized Contact | DEBBIE STREIER CEO 507-537-9160 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2018-09-18 |
Last Update Date | 2022-12-02 |