Individual
JOEL SCHWIESOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
216 ANAMARIA DR, RAPID CITY, SD 57701-7366
(605) 721-0337
(605) 721-0043
Mailing address
1711 WEST BLVD, RAPID CITY, SD 57701-4555
(605) 348-7218
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
12580.0880
WY
367500000X
Certified Registered Nurse Anesthetist
Primary
RO14728
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5750124
—
SD
Enumeration date
09/12/2005
Last updated
01/21/2010
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