NPI 1013568229

Dennis Leo Anco, CPOLPO

Practitioner Prosthetist Woodbury, MN

Practice location

Address: 1854 Evergreen Draw, Woodbury, MN 55125-2306
Phone: (763) 228-5697

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1089 (MN)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1089 (MN)

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Registry record

NPI: 1013568229
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2019
Record last updated: 28 Sep 2019

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.