NPI | 1851491690 |
---|---|
Doing Business As | AVERA MEDICAL GROUP WINDOM |
Entity Type | Organization |
Authorized Contact | DAVID WILLIAM FLICEK President/CEO 605-322-7915 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-09-22 |
Last Update Date | 2021-06-10 |