| Avera Marshall | |
|
197 N Tyler St Tyler MN 56178-1160 | |
| (507) 247-5591 | |
| Not Available |
| Full Name | Avera Marshall |
|---|---|
| Speciality | Dentist |
| Location | 197 N Tyler St, Tyler, Minnesota |
| Authorized Official Name and Position | Debbie Streier (CEO) |
| Authorized Official Contact | 5075379160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Marshall 197 N Tyler St Tyler MN 56178-1160 Ph: (507) 247-5591 | Avera Marshall 197 N Tyler St Tyler MN 56178-1160 Ph: (507) 247-5591 |
| NPI Number | 1962859058 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962859058 | NPI | - | NPPES |
| NOT ASSIGNED YET | Other | NOT ASSIGNED YET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Minnesota) | Primary |