Avera Marshall is a health care provider in Mountain Lake, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1040 3rd Ave, Mountain Lake, MN 56159-1587, US|
|Practice Location Phone||507-427-2345|
|Practice Location Fax|
|Legal Business Name||AVERA MARSHALL|
|Other Organization Name||AVERA MEDICAL GROUP OPTOMETRY MOUNTAIN LAKE|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Jul 1, 2010|
|Last Update Date ?||Jul 1, 2010|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Optometrist||Eye and Vision Services Providers||Minnesota|
|Ophthalmology||Allopathic & Osteopathic Physicians|
|Durable Medical Equipment & Medical Supplies||Suppliers|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Avera Marshall's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Sharon A Williams|
|Authorized Official Title/Position||VP OF FINANCE/IS|
|Authorized Official Phone Number||507-537-9150|