Individual
THEODORE G. VOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1100 E 26TH ST, SIOUX FALLS, SD 57105-4023
(605) 338-7098
(605) 335-3505
Mailing address
5208 E. KNOLL DR., SIOUX FALLS, SD 57110
(605) 339-1799
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R013085
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001917
BLUE CROSS SD
SD
01
—
03N69VO
BLUE CROSS MN
MN
05
—
5750480
—
SD
05
—
941153
—
IA
Enumeration date
07/27/2006
Last updated
04/04/2008
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