Individual
JEFFREY M SPAANS
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
R022641-0321
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001675
SD BLUE CROSS PROV #
SD
01
—
051K3SP
MN BLUE CROSS PROV #
MN
05
—
0574525
—
IA
05
—
377183100
—
MN
05
—
460224743-48
—
NE
01
—
460224743-57105-AC42
TRICARE PROV #
SD
05
—
5753750
—
SD
01
—
9210485
DAKOTACARE PROV #
SD
Enumeration date
08/12/2006
Last updated
02/02/2011
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