Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 51027 | WI |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 8043 | SD |
NPI | 1023208907 |
---|---|
Provider Name | Dr. Daniel R Rasmussen |
First Address | Pierre, SD 57501 |
Second Address | Pierre, SD 57501-3391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 05/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6634200 | (05) | SD |