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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