Individual
ASHLEY ANN ANTOLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-6665
Mailing address
2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 55414-3279
(612) 439-1868
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301110681
MI
207P00000X
Emergency Medicine Physician
Primary
65490
MN
Other
Enumeration date
06/24/2016
Last updated
11/22/2024
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