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Individual

DR. PETER LEE KELZENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

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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