NPI | 1831504711 |
---|---|
Doing Business As | AVERA MEDICAL GROUP ABERDEEN SURGICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DANIEL J BJERKNES President/CEO 605-622-5125 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SD 10525) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2024-05-22 |