Individual
THOMAS KELZENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 VILLAGE CENTER DR, NORTH OAKS, MN 55127-3005
(651) 251-1014
Mailing address
6080 138TH ST N, HUGO, MN 55038-9200
(651) 238-2178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
MN113294
MN
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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