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Avera Mckennan
Primary Care Clinic/Center in Larchwood, Iowa
NPI 1871527507

Avera Mckennan is a Primary Care Clinic/Center based in Sioux Falls, IA and is specialized in Primary Care. Avera Mckennan practices in Larchwood, IA. The NPI Number for Avera Mckennan is 1871527507 and holds a License No. (Iowa).

The current practice location address for Avera Mckennan is 916 Holder St, Larchwood, IA and can be reached out via phone at 712-477-2185 and via fax at 712-477-2186.

Location: 916 Holder St, Larchwood, IA, 57118-6430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871527507
Provider Name
Avera Mckennan
Credential
Provider Entity Type
Organization
Address
916 Holder St, Larchwood, IA, 57118-6430
Phone Number
712-477-2185
Fax Number
712-477-2186
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0425074 05 IA
2900993 05 IA
institution
Provider Business Practice Location Address Details
Address
916 Holder St
City
Larchwood
State
Iowa
Zip
51241-0008
Phone Number
712-477-2185
Fax Number
712-477-2186
person
Provider Business Mailing Address Details
Address
916 Holder St
City
Larchwood
State
Iowa
Zip
51241-0008
Phone Number
712-477-2185
Fax Number
712-477-2186
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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