Individual
DAVID MARK HUETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
17893 224TH ST, MANCHESTER, IA 52057-8629
(563) 927-6183
(563) 927-6183
Mailing address
17893 224TH ST, MANCHESTER, IA 52057-8629
(563) 927-6183
(563) 927-6183
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-058058
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299990
—
IA
01
—
10107
RMC BC/BS IOWA
IA
01
—
35069
SUMNER BC/BS IOWA
IA
05
—
4299990
—
IA
01
—
43747
VINTON BC/BS IOWA
IA
01
—
53700
INDE BC/BS IOWA
IA
05
—
7299990
—
IA
05
—
8299990
—
IA
Enumeration date
07/04/2006
Last updated
07/09/2007
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