Organization
ANESTHESIA PROVIDERS, PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MASSELINK CRNA (PRESIDENT/CEO)
(605) 261-5258
Entity
Organization
Contact information
Practice address
7023 S HIGH CROSS TRL, SIOUX FALLS, SD 57108-3332
(605) 261-5258
Mailing address
7023 S HIGH CROSS TRL, SIOUX FALLS, SD 57108-3332
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000632
SD
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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