Individual
TIMOTHY DAVID FITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 333-6859
Mailing address
6801 W STONEY CREEK CIR, SIOUX FALLS, SD 57106-4619
(605) 339-3278
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R22301
SD
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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