| NPI | 1700062213 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP WORTHINGTON |
| Entity Type | Organization |
| Authorized Contact | KELLI VAN GROUW Clinic Manager 507-372-2921 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2013-04-01 |