Organization
TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS TILLGES (OPERATIONS OFFICER)
(651) 379-5581
Entity
Organization
Contact information
Practice address
3879 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2518
(651) 772-2665
Mailing address
1570 BEAM AVE STE 100, MAPLEWOOD, MN 55109-3136
(651) 772-2665
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
03/04/2025
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