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NPI 1790730380

IndividualActive

Jeffrey Pellersels, DPM

NPI 1790730380 · Podiatrist · Woodbury, MN

Provider details

NPI number: 1790730380
Entity type: Individual
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Credential: DPM
Sex: Male
Sole proprietor: Yes
License: 473 (MN)

Practice location

563 Bielenberg Dr

Suite 150

Woodbury, MN 55125-4425

Phone: (651) 457-4665

Fax: (651) 457-3115

More MN providers

Mailing address

563 Bielenberg Dr

Woodbury, MN 55125-4425

Registry dates

Enumerated: 2006-05-23
Last updated: 2009-02-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jeffrey Pellersels, DPM — NPI 1790730380, Woodbury, MN | NPI Central