Individual
ROBERT E TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2304 S MAIN ST, RICE LAKE, WI 54868-2900
(715) 736-1700
(715) 736-1703
Mailing address
2304 S MAIN ST, TILLMAN OPTOMETRY, RICE LAKE, WI 54868-2900
(715) 736-1700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1491035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38563500
—
WI
Enumeration date
01/11/2006
Last updated
01/04/2008
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