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Organization
MAPLEWOOD PODIATRY
Active
Organization
MAPLEWOOD PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT SIMONE DPM (OWNER)
(651) 770-3891
Entity
Organization
Contact information
Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 468-5353
Mailing address
2520 WHITE BEAR AVE N, SUITE A, MAPLEWOOD, MN 55109-5136
(651) 770-3891
(651) 748-3117
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/12/2010
Last updated
03/03/2017
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