Organization
ELKHORN VALLEY ANESTHESIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD W MANLEY CRNA (PRESIDENT)
(402) 380-3404
Entity
Organization
Contact information
Practice address
455 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5327
(952) 442-9770
(952) 442-3620
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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