Individual
DOUGLAS PELCAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3919 W 44TH ST, 200, EDINA, MN 55424-1032
(952) 934-0678
Mailing address
9770 GARRISON WAY, EDEN PRAIRIE, MN 55347-3039
(612) 998-4313
(952) 988-5199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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