Organization
MAPLEWOOD PODIATRY, LLC
Active
Other names
Midwest Foot & Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCE SIMONE DPM (OWNER)
(651) 770-3891
Entity
Organization
Contact information
Practice address
2520 WHITE BEAR AVE N, SUITE A, MAPLEWOOD, MN 55109-5136
(651) 770-3891
(651) 748-3117
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
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156603200
—
MN
Enumeration date
05/12/2006
Last updated
05/08/2015
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