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Individual

JOSEPH WELTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1100 E 26TH ST, SIOUX FALLS, SD 57105-4023
(605) 338-7098
(605) 335-3505
Mailing address
1100 E 26TH ST, SIOUX FALLS, SD 57105-4046

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000334
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004977
BLUE CROSS SD
SD
01
04M01WE
MN BLUE CROSS BS
MN
05
1518980143
IA
05
1945014
IA
05
437816400
MN
05
46022474348
NE
01
4992556
SD BLUE CROSS
SD
05
5750732
SC
05
5750734
SD
01
R019227
DAKOTACARE
SD
Enumeration date
07/25/2006
Last updated
01/30/2013
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