Individual
TADD E THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5000
(605) 622-5255
Mailing address
516 N SUNSET DR, MINA, SD 57451-3027
(605) 622-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R028237
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CR000731
CRNA CERTIFICATION
SD
Enumeration date
12/07/2009
Last updated
12/07/2009
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