# MITCHELL ANESTHESIA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952328767
- **Authorized official:** JOHN M VAN ERDEWYK MD (PROVIDER)
- **Authorized official phone:** (605) 995-2000

## Contact information

- **Practice address:** 525 N FOSTER ST, MITCHELL, SD 57301-2966
- **Practice address phone:** (605) 995-2000
- **Practice address fax:** (605) 995-5645
- **Mailing address:** PO BOX 5126, SIOUX FALLS, SD 57117-5126
- **Mailing address phone:** (605) 335-1952
- **Mailing address fax:** (605) 373-9971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 0250 | SD | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 02/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0003527 | BCBS - GROUP | SD |
| 05 | — | 10025039000 | — | NE |