Individual
MR. DAN METTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11220 338TH AVE, EUREKA, SD 57437-6801
(605) 577-6240
Mailing address
11220 338TH AVE, EUREKA, SD 57437-6801
(605) 577-6240
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R020291
SD
367500000X
Certified Registered Nurse Anesthetist
R26023
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3802
CRNA
ND
Enumeration date
04/12/2007
Last updated
07/08/2007
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