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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 J TILLGES CPO, FAAOP (OWNER/PRESIDENT)
(651) 772-2665
Entity
Organization
Contact information
Practice address
817 PORTLAND AVE, MINNEAPOLIS, MN 55404-1145
(612) 341-3660
(612) 341-3664
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
01/16/2014
Last updated
01/16/2014
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