Organization
ON-SITE PODIATRY, INC
Active
Other names
Pinnacle Foot And Ankle Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT A SIMONE JR. DPM (PRESIDENT)
(763) 545-7545
Entity
Organization
Contact information
Practice address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(952) 890-4061
Mailing address
5201 EDEN AVE, SUITE 50, EDINA, MN 55436-2316
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
750
MN
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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