Jeffrey Craig Pellersels in Woodbury - Foot & Ankle Surgery
Jeffrey Craig Pellersels - NPI 1790730380
Jeffrey Craig Pellersels is a Foot & Ankle Surgery in Woodbury, Minnesota. Jeffrey Craig Pellersels practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jeffrey Craig Pellersels is 1790730380. The last update date is 2009-02-23.
Jeffrey Craig Pellersels's current location address is 563 Bielenberg Dr, Woodbury, Minnesota. You can contact this provider via phone number 6514574665 and fax number 6514573115. The mailing address for Jeffrey Craig Pellersels is 563 Bielenberg Dr, Woodbury, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Craig Pellersels |
|---|---|
| Address | 563 Bielenberg Dr, Woodbury, Minnesota |
| Phone Number | 6514574665 |
| Fax Number | 6514573115 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1790730380 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2009-02-23 |
Provider Mailing Address Detail
| Address | 563 Bielenberg Dr |
|---|---|
| City | Woodbury |
| State | Minnesota (MN) |
| Post Code | 551254425 |
| Phone Number | 6514574665 |
| Fax Number | 6514573115 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 473 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 944325800 | MN | -- | |
| 43214500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey Craig Pellersels by the Centers for Medicare & Medicaid Services?
The Jeffrey Craig Pellersels has been issued the NPI (National Provider Identifier) 1790730380 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jeffrey Craig Pellersels is physically located?
The Jeffrey Craig Pellersels is situated at the following address: 563 Bielenberg Dr, Woodbury, MN 551254425.
What is Jeffrey Craig Pellersels's area of expertise and its corresponding taxonomy classification?
The Jeffrey Craig Pellersels's field of specialization is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1790730380 to Jeffrey Craig Pellersels?
The Jeffrey Craig Pellersels received its 1790730380 assignment from the Centers for Medicare & Medicaid Services on 2006-05-23.
When was the information related to Jeffrey Craig Pellersels most recently updated or refreshed?
The details pertaining to the Jeffrey Craig Pellersels, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-02-23.