Individual
JOHN W SCHMELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1440 N MAIN ST, SPEARFISH, SD 57783-1505
(605) 347-2536
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
(605) 719-7109
(605) 719-1027
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
NP5175
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
R018086
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5750545
—
SD
Enumeration date
10/04/2006
Last updated
01/27/2012
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