Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glacial Lakes Anesthesia, PLLC

Organization Certified Registered Nurse Anesthetist · NPI 1841901923

Glacial Lakes Anesthesia, PLLC is a Certified Registered Nurse Anesthetist in Watertown, South Dakota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1512 4th St NE
Watertown, SD 57201-6824
Phone: (605) 884-0100
Fax: (952) 442-3620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1841901923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bevers — Owner · (507) 272-1629
NPI enumeratedDecember 8, 2022
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022
Mailing address400 10th St E, Waconia, MN 55387-4552

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