Individual
ASHLEY HARRISON KONSTANTINIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4040 COON RAPIDS BLVD NW, SUITE 120, MINNEAPOLIS, MN 55433-4567
(920) 209-1698
Mailing address
4040 COON RAPIDS BLVD NW, SUITE 120, MINNEAPOLIS, MN 55433-4567
(920) 209-1698
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2004
MN
Other
Enumeration date
11/15/2013
Last updated
11/18/2016
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