Most Relevant Information
Provider Data
| NPI Number: | 1003255886 |
| Provider Name: | CHELSEA ANJELICA MIELKE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/14/2013 |
| Last Updated: | 11/10/2020 |
Provider Practice Location
2450 RIVERSIDE AVE
MINNEAPOLIS
MN
554541450
Practice Location Phone/Fax
| Phone: | 6126726000 |
| Fax: |
Provider Mailing Location
6500 EXCELSIOR BLVD
ST LOUIS PARK
MN
554264702
Provider Mailing Phone/Fax
| Phone: | 9529933246 |
| Fax: | 9529933010 |