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Organization

MAPLEWOOD PODIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINCENT SIMONE JR. 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
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
12/31/2009
Last updated
01/25/2016
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