Provider Demographics
NPI:1871858639
Name:ZILLES, ASHLEY MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MARIE
Last Name:ZILLES
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:2945 HAZELWOOD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-1243
Mailing Address - Country:US
Mailing Address - Phone:651-471-9400
Mailing Address - Fax:651-471-9440
Practice Address - Street 1:2945 HAZELWOOD ST STE 200
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1243
Practice Address - Country:US
Practice Address - Phone:651-471-9400
Practice Address - Fax:651-471-9440
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2020-12-18
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Provider Licenses
StateLicense IDTaxonomies
MN61584208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery