| NPI | 1881049484 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP DERMATOLOGY MITCHELL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2020-08-20 |