Individual
JERRY JAY ZWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
208 LINDEN DR, MADISON, SD 57042-7342
(605) 381-3892
Mailing address
208 LINDEN DR, MADISON, SD 57042-7342
(605) 381-3892
(507) 562-2788
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
21348.0796
WY
367500000X
Certified Registered Nurse Anesthetist
R 140763-1
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R026839
SD
367500000X
Certified Registered Nurse Anesthetist
R29810
ND
Other
Enumeration date
10/13/2005
Last updated
12/03/2013
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