Individual
THOMAS G PELZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 W BLUFF ST, BOSCOBEL, WI 53805-1601
(608) 375-2424
(608) 375-6285
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-6217
(608) 375-5463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25166
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30019400
—
WI
Enumeration date
08/03/2006
Last updated
05/05/2008
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