Organization
PELOTON ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER C GLASSBRENNER CRNA (PARTNER)
(308) 430-3993
Entity
Organization
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(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
Enumeration date
01/18/2021
Last updated
01/18/2021
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