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Organization
TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC.
Active
Organization
TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JAMES TILLGES CPO (OWNER, PRESIDENT)
(651) 772-2665
Entity
Organization
Contact information
Practice address
1570 BEAM AVE, SUITE 100, MAPLEWOOD, MN 55109-1166
(651) 772-2665
(651) 771-6553
Mailing address
1570 BEAM AVE, SUITE 100, MAPLEWOOD, MN 55109-1166
(651) 772-2665
(651) 771-6553
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NULL
Other
Enumeration date
04/24/2006
Last updated
07/31/2007
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