Individual
CHESTER ARTHUR PELSANG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2751 NORTHGATE DR, IOWA CITY, IA 52245-9509
(319) 338-3606
(319) 338-0522
Mailing address
2751 NORTHGATE DR, IOWA CITY, IA 52245-9509
(319) 338-3606
(319) 338-0522
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00490
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689623316
—
IA
01
—
1942276621
WELLMARK
IA
01
—
I7556003
MEDICARE PTAN
IA
Enumeration date
05/09/2006
Last updated
07/23/2009
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