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Individual

MS. CHELSEA ANJELICA MIELKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-3246
(952) 993-3010

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11434
MN
363AM0700X
Medical Physician Assistant

Other

Enumeration date
06/14/2013
Last updated
11/10/2020
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