| NPI | 1457096133 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP COMPREHENSIVE WEIGHT MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM FLICEK President/CEO 605-322-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |