IndividualActive
David Pederson, DPM
NPI 1487668919 · Podiatrist · St Louis Park, MN
Provider details
- NPI number
- 1487668919
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 12/00327 (KS)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
3900 Park Nicollet Blvd
St Louis Park, MN 55416-2503
Phone: (952) 993-3670
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2021-03-10
- Certified
- 2021-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.