MEDICARE: DR. DALE HERBERT VANCIL D. P, M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	338	MN

General Provider Information

NPI Number	:	1205856713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALE HERBERT VANCIL D. P, M.

Provider Business Mailing Address
First Line	:	3485 WILLOW LAKE BLVD
Second Line	:	SUITE 300
City	:	SAINT PAUL
State	:	MN
Zip	:	55110-5152
Country	:	US
Telephone Number	:	651-765-8200
Fax Number	:	651-765-8201

Provider Business Practice Location Address
First Line	:	3485 WILLOW LAKE BLVD.
Second Line	:	SUITE 300
City	:	LINO LAKES
State	:	MN
Zip	:	55110-5152
Country	:	US
Telephone Number	:	651-765-8200
Fax Number	:	651-765-8201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1710083837 — MEDICAL ARTS FOOT CLINICS, P. A.
Practice Location Address:

3485 WILLOW LAKE BLVD , SUITE 300
SAINT PAUL, MN
55110-5152

Practice Phone: 651-765-8200
Practice Fax: 651-765-8201

1336405166 — JULIE GUENTHER TEBBEN CNP
Practice Location Address:

3485 WILLOW LAKE BLVD , SUITE 100
VADNAIS HEIGHTS, MN
55110-5152

Practice Phone: 651-484-5567
Practice Fax: 165-134-4440

1376996132 — MINNESOTA NATURAL MEDICINE
Practice Location Address:

3485 WILLOW LAKE BLVD , #100
VADNAIS HEIGHTS, MN
55110-5152

Practice Phone: 651-484-5567
Practice Fax:

1437609310 — MINNESOTA NATURAL MEDICINE
Practice Location Address:

3485 WILLOW LAKE BLVD , #100
VADNAIS HEIGHTS, MN
55110-5152

Practice Phone: 651-484-5567
Practice Fax:

1811996754 — MR. CRAIG DENNIS JOHNSON P.T
Practice Location Address:

730 APOLLO DR , SUITE 120
LINO LAKES, MN
55014-3037

Practice Phone: 651-784-7866
Practice Fax: 651-784-7870

1841261088 — DR. KHANH XONG NGUYEN DO
Practice Location Address:

7455 VILLAGE DR
LINO LAKES, MN
55014-1181

Practice Phone: 651-717-3400
Practice Fax:

Directions to “ DR. DALE HERBERT VANCIL D. P, M.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.