NPI | 1528348406 |
---|---|
Doing Business As | AVERA MEDICAL GROUP INTERNAL MEDICINE MITCHELL |
Entity Type | Organization |
Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
Enumeration Date | 2011-08-23 |
Last Update Date | 2020-08-20 |