Organization
TONKA MEDICAL SUPPLIES, INC.
Active
Organization
TONKA MEDICAL SUPPLIES, INC.
Active
Other names
Tonka Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DMITRUK CFO (CFO)
(612) 285-3448
Entity
Organization
Contact information
Practice address
8110 MINNETONKA BLVD., ST. LOUIS PARK, MN 55426-3022
(952) 939-1171
(952) 939-0183
Mailing address
8110 MINNETONKA BLVD., ST. LOUIS PARK, MN 55426-3022
(952) 939-1171
(952) 939-0183
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
069258
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115818
UCARE PROVIDER NUMBER
MN
05
—
1811082332
—
MN
05
—
448816400
—
MN
01
—
8200111
MEDICA PROVIDER NUMBER
MN
01
—
8200868
MEDICA PROVIDER NUMBER
MN
01
—
8214407
MEDICA PROVIDER NUMBER
MN
01
—
8G640TO
BLUECROSS BLUESHIELD
MN
Enumeration date
10/03/2006
Last updated
07/13/2020
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