Thomas Kelzenberg

NPI #1073899845 in North Oaks, Minnesota

Provider Information

NPI Number: 1073899845
Entity Type: Individual
Name: Thomas Kelzenberg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 25, 2011
Last Updated: Oct 25, 2011

Practice Location

Address: 600 VILLAGE CENTER DR
City: North Oaks
State: Minnesota
ZIP Code: 55127-3005
Phone: (651) 251-1014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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