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Individual

DR. MICHAEL LEE VALLEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
6625 LYNDALE AVE S STE 105, RICHFIELD, MN 55423-2673
(612) 788-8778
(612) 869-3473
Mailing address
6625 LYNDALE AVE S STE 300, RICHFIELD, MN 55423-2491
(612) 788-8778
(612) 869-3473

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1130
MN
213E00000X
Podiatrist
135.000988
IL

Other

Enumeration date
11/06/2017
Last updated
01/12/2023
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