Individual
MR. ROGER W MEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2601 FOX RUN PKWY, YANKTON, SD 57078-5341
(605) 664-5050
(605) 664-5051
Mailing address
307 WALNUT ST, SUITE C, YANKTON, SD 57078-4361
(605) 664-5050
(605) 664-5051
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
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