Individual
JAMIE MICHAEL PELZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 656-7020
(320) 255-5714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43757
MN
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
43757
MN
207RC0000X
Cardiovascular Disease Physician
Primary
43757
MN
2471C3401X
Computed Tomography Radiologic Technologist
43757
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397172400
—
MN
Enumeration date
03/21/2006
Last updated
11/09/2017
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