Individual
ASHLEY A BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
12142 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4525
(952) 977-0500
(952) 977-0501
Mailing address
12142 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4525
(952) 977-0500
(952) 977-0501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10704
MN
Other
Enumeration date
01/21/2010
Last updated
09/04/2014
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