Individual
BRIAN CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R1561137
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-CRNA CR000688
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770530511
BCBS MN
—
05
—
46022474348
—
NE
05
—
5755900
—
SD
01
—
9265185
DAKOTACARE
—
Enumeration date
05/27/2006
Last updated
02/19/2009
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