| Marcus James Duval, | |
|
10651 165th St W, Lakeville, MN 55044-5670 | |
| (952) 435-3553 | |
| Not Available |
| Full Name | Marcus James Duval |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 10651 165th St W, Lakeville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922625714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC007116 (Pennsylvania) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1157 (Minnesota) | Primary |
| Provider Name | Lakeville Foot And Ankle Practice Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174213839 PECOS PAC ID: 2062861081 Enrollment ID: O20231215000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcus James Duval, 10651 165th St W, Lakeville, MN 55044-5670 Ph: (612) 670-0920 | Marcus James Duval, 10651 165th St W, Lakeville, MN 55044-5670 Ph: (952) 435-3553 |
Lakeville Foot And Ankle Practice Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 10651 165th St W, Lakeville, MN 55044 Phone: 612-670-0920 | |
Advanced Foot & Ankle Clinic Llp Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9974 214th St W, Lakeville, MN 55044 Phone: 952-469-0500 | |
John E Laco, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10651 165th Street West, Lakeville, MN 55044 Phone: 952-435-3553 Fax: 952-241-3806 | |
John E Laco Dpm Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10651 165th Street West, Lakeville, MN 55044 Phone: 952-435-3553 Fax: 952-241-3806 |