Individual
MICHELE PELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-3456
Mailing address
PO BOX 1309, MAIL STOP 21110Q, MINNEAPOLIS, MN 55440-1309
(651) 254-6512
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2404
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2019
Last updated
12/02/2019
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