Individual
DR. JARED SUNDVISSON AELONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Mailing address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016005270
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
57
ND
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
810
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10045
—
ND
05
—
1932125697
—
MN
Enumeration date
07/15/2006
Last updated
03/08/2022
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