Provider Demographics
NPI:1639197502
Name:SILAS, MOLLY VOCHKO (MD)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:VOCHKO
Last Name:SILAS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:7945 STONE CREEK DR. SUITE 130
Mailing Address - Street 2:STONE CREEK PSYCHIATRY
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317
Mailing Address - Country:US
Mailing Address - Phone:952-241-4050
Mailing Address - Fax:952-241-4049
Practice Address - Street 1:7945 STONE CREEK DR. SUITE 130
Practice Address - Street 2:STONE CREEK PSYCHIATRY
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317
Practice Address - Country:US
Practice Address - Phone:952-241-4050
Practice Address - Fax:952-241-4049
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2014-04-09
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Provider Licenses
StateLicense IDTaxonomies
MN378382084N0400X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN273025100Medicaid
MN260000902Medicare UPIN