Organization
MAPLEWOOD PODIATRY, LLC
Active
Other names
Foot Care Clnic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT SIMONE JR. DPM (OWNER)
(651) 439-5278
Entity
Organization
Contact information
Practice address
1940 GREELEY ST S, SUITE 122, STILLWATER, MN 55082-5097
(651) 439-5278
Mailing address
2520 WHITE BEAR AVE N, SUITE A, SAINT PAUL, MN 55109-5136
(651) 439-5278
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/05/2010
Last updated
08/14/2015
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