Individual
MR. ROGER W MEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R014067
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
021848
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020584922
—
NE
01
—
35254
MIDLANDS CHOICE
SD
01
—
4993763
BLUE CROSS BLUE SHIELD
SD
05
—
5750832
—
SD
01
—
9220266
DAKOTACARE
SD
01
—
P00435823
RAILROAD
SD
Enumeration date
07/30/2006
Last updated
05/19/2008
Update your record
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