Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY CRAIG PELLERSELS, DPM
Active Sole ProprietorJEFFREY CRAIG PELLERSELS, DPM is a Podiatrist healthcare provider located in WOODBURY, Minnesota. NPI 1790730380 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · WOODBURY, MN
Registration Details
- NPI Number
- 1790730380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2006 (20.255651697436 yrs)
- Last Updated
- Feb 23, 2009
- Licenses
-
473 (MN)668-025 (WI)473 (MN)668-025 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
563 BIELENBERG DRSUITE 150WOODBURY, MN, 551254425Browse MN providers · Browse ZIP 55125
- Phone
- 6514574665
- Fax
- 6514573115
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
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.