Provider Demographics
NPI:1073817870
Name:ANESTHESIA SOLUTIONS, PC
Entity Type:Organization
Organization Name:ANESTHESIA SOLUTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWIESOW
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:605-716-7425
Mailing Address - Street 1:400 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WACONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55387-4552
Mailing Address - Country:US
Mailing Address - Phone:952-442-9770
Mailing Address - Fax:952-442-3620
Practice Address - Street 1:540 DEADWOOD AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-0395
Practice Address - Country:US
Practice Address - Phone:605-716-7425
Practice Address - Fax:952-442-3620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty