Individual
DAVID L PELOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-2200
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-2200
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
65024-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053739714
—
WI
Enumeration date
03/31/2014
Last updated
02/20/2025
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