Individual
EDWARD WILLIAM MITZELFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
250 HOSPITAL PKWY, SAN JOSE, CA 95119-1103
(408) 972-3000
Mailing address
35846 PLUMERIA WAY, FREMONT, CA 94536-2660
(309) 241-8851
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209.021446
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
95001420
CA
Other
Enumeration date
09/01/2020
Last updated
01/03/2022
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