NPI Registry.org

Toly Tin

NPI Registration Record

Provider / OrganizationNPIDate Certified
TOLY TIN19721011522020-10-11
Entity TypeIndividual
Provider Name Toly Tin
Practice Office Address1960 TWIN LAKES PKWY
ROSEVILLE, MN US
Practice Office Telephone6127881478
Mailing Address5619 84 1/2 AVE N
BROOKLYN PARK, MN 554432171 US
Business Telephone7636079461
Contact Endpoints
Other URL []Connexus
HPT Codes
CodeLicense NoState
183500000X PRIMARY124962 MN
OPI Codes
124962 OTHER MN MN BOARD OF PHA

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