# MAPLEWOOD PODIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912237652
- **Authorized official:** DR. VINCENT SIMONE JR. DPM (OWNER)
- **Authorized official phone:** (651) 770-3891

## Contact information

- **Practice address:** 2520 WHITE BEAR AVE N, SUITE A, MAPLEWOOD, MN 55109-5136
- **Practice address phone:** (651) 770-3891
- **Practice address fax:** (651) 748-3117
- **Mailing address:** 2520 WHITE BEAR AVE N, SUITE A, MAPLEWOOD, MN 55109-5136
- **Mailing address phone:** (651) 770-3891
- **Mailing address fax:** (651) 748-3117

## Taxonomy

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

## Other

- **Enumeration date:** 12/31/2009
- **Last updated:** 01/25/2016