Individual
MR. DALE HOWARD JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN, ARNP
Contact information
Practice address
300 W HUTCHINGS ST, WINTERSET, IA 50273-2109
(515) 462-5208
Mailing address
1070 3RD ST, WAUKEE, IA 50263-9755
(515) 987-8241
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D081538
IA
Other
Enumeration date
08/31/2006
Last updated
03/20/2008
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