Individual
JOHN CHRISTOPHER FERNAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
353 FAIRMONT BLVD., RAPID CITY, SD 57701
(605) 719-1000
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R034740
SD
Other
Enumeration date
04/12/2011
Last updated
01/03/2013
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