Individual
ASHLESHA TAMBOLI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2855 CAMPUS DR, PLYMOUTH, MN 55441-2649
(612) 577-7400
(651) 577-7440
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37544
MN
207Q00000X
Family Medicine Physician
D0037669
MD
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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