Individual
DR. PETER LEE KELZENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
220 CENTRAL AVENUE, OSSEO, MN 55369
(763) 425-5525
(763) 425-6229
Mailing address
220 CENTRAL AVENUE, OSSEO, MN 55369
(763) 425-5525
(763) 425-6229
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
3440
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02D86OS
BCBS
MN
01
—
44-40379
MEDICA
MN
01
—
604271
HEALTH PARTNERS
MN
Enumeration date
04/10/2008
Last updated
04/10/2008
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