Individual
DAVID A DESAUTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
#1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 857-5124
(701) 857-3264
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R19708
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12600
—
ND
Enumeration date
10/12/2006
Last updated
02/15/2012
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