Individual
DAVID B PELOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14453 EDGEWOOD DR, BAXTER, MN 56425-8459
(218) 829-1789
(218) 829-1780
Mailing address
424 BARCLAY AVE., P O BOX 457, PINE RIVER, MN 56474-0457
(218) 587-2020
(218) 587-3229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2699
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197023200
—
MN
Enumeration date
02/23/2006
Last updated
07/21/2022
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