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1881632891
THOMAS WILKS ELLIS
MAPLE GROVE, MN
NPI
1881632891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 9063)
Enumeration Date
2006-06-02
Last Update Date
2012-09-24
Business Address
-- THOMAS WILKS ELLIS P.A. C
12000 ELM CREEK BLVD N SUITE 360
MAPLE GROVE, MN 55369-7073
Phone number: 763-315-4300
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Mailing Address
-- THOMAS WILKS ELLIS P.A. C
2873 233RD LN NW
ST FRANCIS, MN 55070-8630
Phone number: 763-753-3306
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