Organization
DAKOTA ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HAECHERL CRNA (PRESIDENT)
(580) 225-2511
Entity
Organization
Contact information
Practice address
1705 W 2ND ST, ELK CITY, OK 73644-4455
(580) 225-2511
Mailing address
PO BOX 47923, WICHITA, KS 67201-7923
(316) 685-6236
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100742100A
—
OK
Enumeration date
01/24/2006
Last updated
05/14/2008
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