Individual
JOSEPH DALE ULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E 21ST ST, AVERA MCKENNAN ANESTHESIOLOGY, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Mailing address
PO BOX 5045, ATTN: PATIENT FINANCIAL SERVICES, ADP2, SIOUX FALLS, SD 57117-5045
(605) 322-6428
(605) 322-6499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000743
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780900787
WELLMARK BCBS SD - TRICARE TRIWEST
—
05
—
1780900787
—
IA
05
—
1780900787
—
MN
05
—
2000120
—
SD
05
—
46022474348
—
NE
01
—
9293183
DAKOTACARE
—
01
—
P00883875
RAILROAD MEDICARE
SD
Enumeration date
04/15/2010
Last updated
02/22/2011
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