Avera Queen of Peace
Avera Queen of Peace provides Prosthetic/Orthotic Supplier services in Mitchell, South Dakota. Licensed in South Dakota. Registered with an NPI since 2007.
- Licensed in
- SD
- In the registry since
- 2007
Practice location Address checks out
625 N Foster St Ste 200Mitchell, SD 57301-2969
Phone: (605) 996-3963
Fax: (605) 996-0718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence 100-1023 (SD) |
|---|
Record details
| NPI number | 1710184569 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Douglas Ekeren — President/Ceo · (605) 668-8322 |
| Other names | Avera Medical Group Orthopedics & Sports Medicine; Avera Medical Group Orthopedics & Sports Medicine |
| NPI enumerated | June 27, 2007 |
| Last updated in NPPES | August 20, 2020 |
| Certification date | August 20, 2020 |
| Mailing address | 625 N Foster St, Suite 200, Mitchell, SD 57301-2969 |