Individual
SEAN C SUNDERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Mailing address
PO BOX 5045, ATTN: P.F.S., SIOUX FALLS, SD 57117-5045
(605) 322-2754
(605) 322-2727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-CRNA CR000696
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952577074
—
IA
05
—
46022474348
—
NE
05
—
5755890
—
SD
01
—
9261973
DAKOTACARE
—
01
—
P00892216
RAILROAD MEDICARE
SD
Enumeration date
05/08/2008
Last updated
03/18/2011
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