Organization
TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS TILLGES (OPERATIONS OFFICER)
(651) 772-2665
Entity
Organization
Contact information
Practice address
563 BIELENBERG DR, SUITE 110, WOODBURY, MN 55125-1415
(651) 735-0818
(651) 735-1232
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102162
UCARE
MN
01
—
110002421
WISCONSIN EDUCATIONAL
WI
01
—
21446
HEALTH PARTNERS
MN
01
—
2G045TI
BLUECROSS/BLUE SHIELD
MN
05
—
41783200
—
WI
05
—
54075
—
ND
05
—
780265000
—
MN
01
—
8200377
MEDICA
MN
Enumeration date
04/24/2006
Last updated
01/17/2025
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