Individual
MRS. DANA THILGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(763) 862-2091
Mailing address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(763) 862-2091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2550
MN
363A00000X
Physician Assistant
PA09019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340731401
—
TX
01
—
C0204277
CSR
TX
Enumeration date
01/22/2014
Last updated
03/07/2023
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