Individual
STEVEN K GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2849 JOHNSON ST NE, MINNEAPOLIS, MN 55418-3055
(612) 706-4500
Mailing address
2849 JOHNSON ST NE, MINNEAPOLIS, MN 55418-3055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
924
MN
Other
Enumeration date
09/25/2006
Last updated
05/13/2008
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