Individual
BRIAN CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-6400
(605) 322-6499
Mailing address
800 E 21ST ST, PO BOX 5045, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
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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