• Pay My Bill
  • Donate
  • Careers
Avera Chart Logo
Avera Logo
  • Health Services
  • Doctors
  • Locations
  • Patients & Visitors
  • Balance Blog
  • Pay My Bill
  • Donate
  • Careers
  • Avera Chart Logo
Avera Logo
  • Health Services
  • Doctors
  • Locations
  • Patients & Visitors
  • Balance Blog
DoctorsAvera Chart White LogoLocations
New Search

Floyd Valley Clinics — Marcus

101 E Pine, Marcus, IA 51035
712-376-4181

Meet Our Team


Shannon K. Letsche, ARNP

Family Medicine

712-376-4181
ProviderPlaceholder-MeetOurTeam
Destiny Miller-Mancuso, MD

Family Medicine

712-546-8111
Andrew Geha, DO

Family Medicine

712-546-3680
  1. Home/
  2. Directory - Facility/
  3. Iowa/
  4. Marcus
Avera Logo

© 2026 Avera Health, Sioux Falls, SD.

All rights reserved.

CONNECTBalance BlogClasses & EventsVolunteerContact Us
  • Visit us on Facebookfacebook
  • Visit us on Instagraminstagram
  • Visit us on Xx
  • Visit us on YouTubeyoutube
  • Visit us on LinkedInlinkedIn
  • Visit us on Pinterestpinterest
ABOUT AVERA HEALTHDaily Scripture & ReflectionAnnual ReportNews & MediaOnline Privacy PolicyLegal & NoticesNotice of Privacy PracticesPrice Transparency
FOR HEALTH CARE PROFESSIONALSFOR STAFF & PARTNERSFOR JOB SEEKERSRESEARCH & CLINICAL TRIALSAVERA HEALTH PLANS