| NPI | 1710083837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE HERBERT VANCIL President 651-765-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: MN 388) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2014-01-15 |