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NPI Code Detail

MEDICARE: MICHAEL H HOTVET CRNA

MEDICARE: MICHAEL H HOTVET CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistCR000283SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14994182OTHERSDBLUE CROSS SD
2279G3HOOTHERMNBLUE CROSS MN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427022680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL H HOTVET CRNA
Provider Business Mailing Address
First Line : 323 SW 10TH ST
Second Line :
City : MADISON
State : SD
Zip : 57042-3200
Country : US
Telephone Number : 605-256-6551
Fax Number : 605-256-6469
Provider Business Practice Location Address
First Line : 323 SW 10TH ST
Second Line :
City : MADISON
State : SD
Zip : 57042-3200
Country : US
Telephone Number : 605-256-6551
Fax Number : 605-256-6469
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 02/22/2017

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Directions to “ MICHAEL H HOTVET CRNA” Practice Location

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