Individual
TODD SCHISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
235 8TH AVE W, CRESCO, IA 52136-1062
(563) 547-6351
(563) 547-6390
Mailing address
235 8TH AVE W, CRESCO, IA 52136-1062
(563) 547-6351
(563) 547-6390
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
96028
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1289488
—
IA
01
—
36929
BLUE CROSS OF IA
IA
05
—
968157400
—
MN
Enumeration date
02/09/2006
Last updated
04/29/2021
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