Mr. Dennis Leo Anco
Podiatrist Prosthetist
1854 Evergreen Draw
Woodbury
, Minnesota 55125-2306
Mr. Dennis Leo Anco
Podiatrist Prosthetist
1854 Evergreen Draw
Woodbury
, Minnesota 55125-2306
(763) 228-5697
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Mr. Dennis Leo Anco
- 1854 Evergreen Draw
- Woodbury, MN
- Zip : 55125-2306
- Phone : (763) 228-5697
Second Address
- Mr. Dennis Leo Anco
- 1854 Evergreen Draw
- Woodbury, MN
- Zip : 55125-2306
- Phone : (763) 228-5697
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Where is Mr. Dennis Leo Anco ’s practice located?
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Is Mr. Dennis Leo Anco a sole practitioner?
Is Mr. Dennis Leo Anco accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 1089 | MN |
| N | 222Z00000X | Podiatrist | 1089 | MN |
| Y | 224P00000X | Prosthetist | 1089 | MN |
National Provider Identifier
| NPI | 1013568229 |
|---|---|
| Provider Name | Mr. Dennis Leo Anco |
| First Address | Woodbury, MN 55125-2306 |
| Second Address | Woodbury, MN 55125-2306 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2019 |
| Last Update Date | 28/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1089 | BOARD OF PODIATRIC MEDICINE (01) | MN |
| CPO04135 | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHICS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.