| Avera St. Luke's | |
|
310 S Penn St Ste 203, Aberdeen, SD 57401-4553 | |
| (605) 622-2570 | |
| (605) 622-2571 |
| Full Name | Avera St. Luke's |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 310 S Penn St Ste 203, Aberdeen, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871771279 | NPI | - | NPPES |
| 14712 | Medicaid | ND | |
| 9255744 | Other | SD | DAKOTACARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 10525 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Avera St. Luke's Po Box 860674, Minneapolis, MN 55486-0001 Ph: (605) 622-2570 | Avera St. Luke's 310 S Penn St Ste 203, Aberdeen, SD 57401-4553 Ph: (605) 622-2570 |
Dr. Garrett Manfred Wobst, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 701 8th Ave Nw, Aberdeen, SD 57401 Phone: 605-226-2663 Fax: 605-225-0351 | |
Dr. Todd R Monroe, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 411 S 2nd St, Aberdeen, SD 57401 Phone: 605-229-3668 Fax: 605-226-4972 | |
Dr. James Scott Johnston, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3015 3rd Ave Se, Aberdeen, SD 57401 Phone: 605-725-1700 Fax: 605-725-1761 | |
Chad Edward Stapp, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 310 S Penn St Ste 203, Aberdeen, SD 57401 Phone: 605-622-2570 Fax: 605-622-2571 |