Jeffrey A Indrelie, M.D.
Individual provider Active NPI Family Medicine Physician · Norwood, MN
NPI 1497834261 · NPPES record last updated Dec 7, 2013
Key facts
- NPI
- 1497834261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 28725 (MN)
- Practice address
- 406 Faxon Rd N
Norwood, MN 55368-9507 - Phone
- (952) 467-2888
- Fax
- (952) 467-3258
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28725 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgeview Medical Center | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28725 | MN | Yes |
Addresses
Primary practice location
406 Faxon Rd N
Norwood, MN 55368-9507
Mailing address
406 N Faxon Rd
Norwood, MN 55368-9507
Phone (952) 467-2888
Other providers in Norwood, MN
- Janet M Bergeron
- Brandon E Bussler
- Carver County Ind School Dist 108
- Ellen Foltz
- Owen Michael McCann
- Metropolitan Eye Care Specialits, PA
- Norwood Dental
- Nya Pharmacy LLC
- Daniel J Ross
All providers in Norwood, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.