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Avera Tyler
Rural Health Clinic/Center in Lake Benton, Minnesota
NPI 1003869892

Avera Tyler is a Rural Health Clinic/Center based in Lake Benton, MN and is specialized in Rural Health. Avera Tyler practices in Lake Benton, MN. The NPI Number for Avera Tyler is 1003869892 and holds a License No. (Minnesota).

The current practice location address for Avera Tyler is 109 E Benton St, Lake Benton, MN and can be reached out via phone at 507-368-4323 and via fax at 507-368-4546.

Location: 109 E Benton St, Lake Benton, MN, 56149-1309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003869892
Provider Name
Avera Tyler
Credential
Provider Entity Type
Organization
Address
109 E Benton St, Lake Benton, MN, 56149-1309
Phone Number
507-368-4323
Fax Number
507-368-4546
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
9732144 05 MN
5T014TY 01 MN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
109 E Benton St
City
Lake Benton
State
Minnesota
Zip
56149-1309
Phone Number
507-368-4323
Fax Number
507-368-4546
person
Provider Business Mailing Address Details
Address
109 E Benton St
City
Lake Benton
State
Minnesota
Zip
56149-1309
Phone Number
507-368-4323
Fax Number
507-368-4546
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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