| NPI | 1871771279 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP PODIATRY |
| Entity Type | Organization |
| Authorized Contact | DANIEL J BJERKNES President/CEO 605-622-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: SD 10525) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2022-08-18 |