Individual
DONALD J ROESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R025309-0320
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002363
SD BLUE CROSS PROV #
SD
01
—
013K6RO
MN BLUE CROSS PROV#
MN
05
—
143458600
—
MN
05
—
2121590
—
IA
05
—
460224743-48
—
NE
05
—
5751096
—
SD
01
—
R025309
DAKOTACARE PROV #
SD
Enumeration date
08/12/2006
Last updated
11/11/2014
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