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Avera Queen of Peace — NPI 1710184569, Mitchell, SD | NPI Central

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Avera Queen of Peace

NPI 1710184569 · Prosthetic/Orthotic Supplier · Mitchell, SD

Provider details

NPI number: 1710184569
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Organization subpart: No
Authorized official: Douglas Ekeren, President/Ceo(605) 668-8322
License: 100-1023 (SD)

Specialties & taxonomies

Prosthetic/Orthotic SupplierPrimary335E00000XLicense 100-1023 (SD)
Suppliers

Practice location

625 N Foster St

Suite 200

Mitchell, SD 57301-2969

Phone: (605) 996-3963

Fax: (605) 996-0718

Approximate (ZIP-level) locationGet directions

More SD providers

Mailing address

625 N Foster St

Mitchell, SD 57301-2969

Other names (DBA / former)

Doing business as: Avera Medical Group Orthopedics & Sports Medicine
Doing business as: Avera Medical Group Orthopedics & Sports Medicine

Registry dates

Enumerated: 2007-06-27
Last updated: 2020-08-20
Certified: 2020-08-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.