| Organization Name: | RANGE FOOT & ANKLE, PLC |
| NPI Number: | 1205259041 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATIE R EVANS (OWNER) |
| Mailing Address: | 809 N 6th Ave Virginia |
| State: | MN US |
| Postal Code: | 557922308 |
| Phone Number: | 2187493818 |
| Fax Number: | 2187493874 |
| NPI Enumeration Date: | 01/30/2014 |
| NPI Last Update Date: | 03/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 908 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |