Individual
MICHAEL VAN PELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6810 10TH ST, GREELEY, CO 80634-8254
(970) 710-3033
Mailing address
6810 10TH ST, GREELEY, CO 80634-8254
(970) 710-3033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
13128
MN
363A00000X
Physician Assistant
Primary
PA.0007067
CO
363A00000X
Physician Assistant
PA18266
TX
Other
Enumeration date
07/31/2019
Last updated
04/09/2026
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