Individual
MR. THOMAS MILLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6627 E LAKETOWNE DR, ALBERTVILLE, MN 55301
(763) 238-8202
Mailing address
6627 E LAKETOWNE DR, ALBERTVILLE, MN 55301
(763) 238-8202
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
BC645424
MN
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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