Individual
JON WALTJER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 SUMMIT ST, YANKTON, SD 57078-3855
(605) 668-8000
Mailing address
2912 MASTERS AVE, YANKTON, SD 57078-5357
(605) 359-6954
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-CRNA CR000821
SD
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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