| Doctor Name: | DR. DALE HERBERT VANCIL |
| NPI Number: | 1205856713 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D. P, M. |
| License Number: | 338 |
| Business Practice Address: | 3485 Willow Lake Blvd. Suite 300 Lino Lakes, MN - 551105152 |
| Business Phone Number: | 6517658200 |
| Business Fax Number: | 6517658201 |
| Mailing Address: | 3485 Willow Lake Blvd, Suite 300 SAINT PAUL |
| State: | MN |
| Postal Code: | 551105152 |
| Phone Number: | 6517658200 |
| Fax Number: | 6517658201 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 338 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |