Individual
MITCHELL L MEYERS
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
R028586-0538
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041113
SD BLUE CROSS PROV #
SD
01
—
050K6ME
MN BLUE CROSS PROV #
MN
05
—
0574707
—
IA
05
—
211967600
—
MN
01
—
460224743-57105-AC04
TRICARE PROVIDER #
SD
05
—
46022474348
—
NE
05
—
5753770
—
SD
01
—
9219612
DAKOTACARE PROVIDER #
SC
Enumeration date
08/11/2006
Last updated
08/20/2010
Update your record
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