# MAPLEWOOD PODIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foot Care Clnic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598095093
- **Authorized official:** DR. VINCENT SIMONE JR. DPM (OWNER)
- **Authorized official phone:** (651) 439-5278

## Contact information

- **Practice address:** 1940 GREELEY ST S, SUITE 122, STILLWATER, MN 55082-5097
- **Practice address phone:** (651) 439-5278
- **Mailing address:** 2520 WHITE BEAR AVE N, SUITE A, SAINT PAUL, MN 55109-5136
- **Mailing address phone:** (651) 439-5278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2010
- **Last updated:** 08/14/2015