Individual provider · NPI-1

Jamie Michael Pelzel, MD

Internal Medicine, Cardiovascular Disease · Saint Cloud, MN

NPI number1750340485
StatusActive
Last updated in NPPESNov 9, 2017

Details

NPI
1750340485
Entity type
Individual (NPI-1)
Name
Jamie Michael Pelzel
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 21, 2006
Last updated
Nov 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease43757MNYes
207R00000X Internal Medicine43757MN
207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology43757MN
2471C3401X Radiologic Technologist, Computed Tomography43757MN

Practice location

1200 6th Ave N
Saint Cloud, MN 56303-2735

Phone 320-252-5131

Mailing address

1200 6th Ave N
Saint Cloud, MN 56303-2735

Phone 320-656-7020 · Fax 320-255-5714

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