DENNIS LEO ANCO

WOODBURY, MN
NPI1013568229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence: MN  1089)
Additional Taxonomies222Z00000X Orthotist
(Licence: MN  1089)
Enumeration Date2019-09-28
Last Update Date2019-09-28
Business Address
Mr. DENNIS LEO ANCO CPO, LPO
1854 EVERGREEN DRAW
WOODBURY, MN 55125-2306
Phone number: 763-228-5697
Mailing Address
Mr. DENNIS LEO ANCO CPO, LPO
1854 EVERGREEN DRAW
WOODBURY, MN 55125-2306
Phone number: 763-228-5697