Individual
DAVID L. MUTSCHELKNAUS
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
48350 265TH ST, BRANDON, SD 57005-7206
(605) 582-2374
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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