| NPI | 1023069259 |
|---|---|
| Former Legal Business Name | MIDWEST FOOT & ANKLE SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | VINCE SIMONE Owner 651-770-3891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-05-08 |