Individual
DAVID L. MUTSCHELKNAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000171
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1551382
—
IA
01
—
320S0MU
BLUE CROSS MN
MN
01
—
4996317
BLUE CROSS SD
SD
05
—
5752604
—
SD
Enumeration date
07/26/2006
Last updated
04/04/2008
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