Individual
TILLIE HOGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 VAN BUREN ST NE STE 200, MINNEAPOLIS, MN 55413-3017
(612) 778-4752
(612) 520-5622
Mailing address
1400 VAN BUREN ST NE STE 200, MINNEAPOLIS, MN 55413-3017
(612) 778-4752
(612) 520-5622
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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