Individual
AMANDA J GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
13750 CROSSTOWN DR NW STE 107, ANDOVER, MN 55304-5855
(612) 255-1175
(612) 255-1176
Mailing address
15909 DUNKIRK ST NE, HAM LAKE, MN 55304-5835
(763) 232-0177
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2774
MN
Other
Enumeration date
01/25/2016
Last updated
12/21/2021
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