Individual
MS. MELISSA CLARE PEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
910 E 26TH ST STE 100, MINNEAPOLIS, MN 55404-4552
(612) 884-6300
(612) 884-6363
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5311
(651) 222-6786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11936
MN
Other
Enumeration date
11/20/2015
Last updated
10/29/2019
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