| NPI | 1700429644 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP GRANITE FALLS |
| Entity Type | Organization |
| Authorized Contact | DEBRA STREIER President/CEO 507-537-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2021-06-30 |