Individual
JEAN VAN PELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37554
MN
208M00000X
Hospitalist Physician
Primary
37554
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104880371
—
MI
05
—
34861900
—
WI
Enumeration date
07/22/2006
Last updated
10/02/2017
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