OrganizationActive
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
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
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.