Individual
ALAN R SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Mailing address
800 E 21ST ST, PO BOX 5045, ATTN: P.F.S., SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R018088-0177
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065166
SD BLUE CROSS PROV #
SD
01
—
050K7SC
MN BLUE CROSS PROV #
MN
05
—
0574822
—
IA
05
—
354243200
—
MN
01
—
460224743-57105-AC06
TRICARE PROV #
SD
05
—
46022474348
—
NE
05
—
5752013
—
SD
01
—
R018088
DAKOTACARE PROV #
SD
Enumeration date
08/12/2006
Last updated
08/11/2010
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