Individual
CHRISTOPHER D VANWASSENHOVE
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
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R028065
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040304
BLUE CROSS OF SD
SD
01
—
0040431
WELLMARK
SD
01
—
013K1VA
MN BLUE CROSS BS
SD
05
—
0556548
—
IA
05
—
1556548
—
SD
05
—
46022474348
—
NE
05
—
5752910
—
SD
05
—
5752912
—
SD
01
—
9219617
DAKOTACARE
SD
Enumeration date
09/20/2005
Last updated
03/07/2008
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