Individual
RICHARD M. WILKINS
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
3227 S TYLER AVE, SIOUX FALLS, SD 57103-6573
(605) 371-4375
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000306
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006955
BLUE SHIELD SD
SD
01
—
31P20WI
BLUE SHIELD MN
MN
05
—
531087
—
IA
05
—
5752720
—
SD
05
—
68489900
—
MN
Enumeration date
07/26/2006
Last updated
04/04/2008
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