Individual
MATTHEW A PEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1419 ROSEWOOD CT, NEW BRIGHTON, MN 55112-5583
(651) 697-9917
Mailing address
1419 ROSEWOOD CT, NEW BRIGHTON, MN 55112-5583
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 116298-9
MN
Other
Enumeration date
08/19/2005
Last updated
07/09/2007
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