Individual provider · Type 1 NPI
Dale Herbert Vancil, D. P, M.
Foot Surgery Podiatrist · Lino Lakes, MN
NPI number
1205856713
Active
Practice location
3485 Willow Lake Blvd., Suite 300
Lino Lakes, MN 55110-5152
Fax (651) 765-8201
Mailing address
3485 Willow Lake Blvd, Suite 300
St. Paul, MN 55110-5152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 338 (MN) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1205856713
Dale Herbert Vancil, D. P, M.'s National Provider Identifier is 1205856713, issued on Jul 20, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Lino Lakes, MN. The record was last updated on Jul 8, 2007.