Range Podiatric Care, PA

NPI #1194846782 in Virginia, Minnesota

Provider Information

NPI Number: 1194846782
Entity Type: Organization
Organization Name: Range Podiatric Care, PA
Primary Specialty: Podiatrist
Enumeration Date: Apr 2, 2007
Last Updated: Oct 28, 2011

Practice Location

Address: 809 N 6TH AVE
Address 2: NORTHGATE PLAZA
City: Virginia
State: Minnesota
ZIP Code: 55792-2308
Phone: (218) 749-3818

Authorized Official

Name: DR. JOHN TYLER GARNER, DPM
Title: OWNER
Phone: (218) 744-1961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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