Individual
CHRISTOPHER LEEDS TILLOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7130 KENMARE DR, BLOOMINGTON, MN 55438-2834
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32771
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100718
UCARE
MN
01
—
1021804
PREFERRED ONE
MN
01
—
1604147
MEDICA
MN
01
—
23018
AMERICA'S PPO
MN
01
—
300085357
RAILROAD MEDICARE MN
MN
05
—
32368200
—
WI
01
—
48603TI
BLUE CROSS BLUE SHIELD OF MINNESOTA
MN
05
—
674795700
—
MN
05
—
7562520
—
IA
01
—
9246569
DAKOTA CARE
MN
01
—
99112160
WI HEALTH INSURANCE RISK SHARING PLAN
WI
01
—
HP14559
HEALTHPARTNERS
MN
01
—
P00437108
RAILROAD MEDICARE WI
WI
Enumeration date
01/11/2006
Last updated
08/09/2024
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