Organization
NORTHWEST IOWA ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE H KROLL CRNA (PARTNER)
(712) 240-2169
Entity
Organization
Contact information
Practice address
1200 1ST AVE E, SPENCER, IA 51301-4342
(888) 209-0305
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265561
—
IA
01
—
105789
CARE CHOICES COMMERCIAL
—
01
—
26556
BLUE CROSS OF IOWA
IA
05
—
377878900
—
MN
01
—
51922NO
BLUE CROSS OF MN - NONPAR
MN
Enumeration date
02/17/2006
Last updated
08/26/2019
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