NPI 1003238700

On-Site Podiatry, INC

Organisation Foot & Ankle Surgery Podiatrist Glencoe, MN

Practice location

Address: 1805 Hennepin Ave N, Glencoe, MN 55336-1416
Phone: (952) 890-4061
Mailing address: 5201 Eden Ave Suite 50, Edina, MN 55436-2316

Authorised official

Name: Vincent a Simone
Title: President
Phone: (763) 545-7545

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 750 (MN)

Other Podiatrist providers in Minnesota →

Registry record

NPI: 1003238700
Entity type: Organization
NPI issued: 15 Jan 2014
Record last updated: 15 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.