Pederson, David Warren

Pederson, David Warren is an individual health care provider with primary practice located at 3900 Park Nicollet Blvd , St Louis Park MN 55416-2503. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Pederson, David Warren can be contacted via phone (952) 993-3670.

Contact Information

Primary practice address
3900 Park Nicollet Blvd St Louis Park MN 55416-2503
Phone: (952) 993-3670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 12/00327 Kansas
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 586 Minnesota

Profile Details

NPI number 1487668919
LBN Legal business name Pederson, David Warren
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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