| Avera Medical Group Neurology Aberdeen | |
|
201 S Lloyd St Suite E202 Aberdeen SD 57401-4552 | |
| (605) 622-2605 | |
| (605) 622-2606 |
| Full Name | Avera Medical Group Neurology Aberdeen |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 201 S Lloyd St, Aberdeen, South Dakota |
| Authorized Official Name and Position | Todd Forkel (PRESIDENT & CEO) |
| Authorized Official Contact | 6026225125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Neurology Aberdeen Po Box 1460 Aberdeen SD 57402-1460 Ph: (602) 622-2605 | Avera Medical Group Neurology Aberdeen 201 S Lloyd St Suite E202 Aberdeen SD 57401-4552 Ph: (605) 622-2605 |
| NPI Number | 1881824977 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 03/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881824977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 10525 (South Dakota) | Primary |
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