NPI | 1679140396 |
---|---|
Doing Business As | AVERA MEDICAL GROUP FLANDREAU |
Entity Type | Organization |
Authorized Contact | DAVID WILLIAM FLICEK President/CEO 605-322-7915 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-06-10 |
Last Update Date | 2021-06-10 |