Individual
SCOTT ROBERT GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2187
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
61538
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
68743
WI
Other
Enumeration date
04/29/2013
Last updated
07/05/2024
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