Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACALYN DICELLO, M.D.
ActiveDR. JACALYN DICELLO, M.D. is a Gynecology healthcare provider located in BURNSVILLE, Minnesota. NPI 1518989656 is currently active in the NPPES registry. Verify at CMS.
Gynecology · BURNSVILLE, MN
Registration Details
- NPI Number
- 1518989656
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2006 (20.078082802905 yrs)
- Last Updated
- Nov 21, 2011
- License
-
23731 (MN)
Practice Information
- Address
-
14000 NICOLLET AVESUITE 100BURNSVILLE, MN, 553375790Browse MN providers · Browse ZIP 55337
- Phone
- 9524280200
- Primary Specialty
-
Gynecology
207VG0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.