Organization
RANGE FOOT & ANKLE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE R EVANS DPM (OWNER)
(218) 749-3818
Entity
Organization
Contact information
Practice address
616 9TH ST N, VIRGINIA, MN 55792
(218) 749-3818
(218) 749-3874
Mailing address
616 9TH ST N, VIRGINIA, MN 55792-2320
(218) 749-3818
(218) 749-3874
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
908
MN
Other
Enumeration date
01/30/2014
Last updated
10/05/2018
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