Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ludwig Axel Philip Tilly

Individual provider Other Technician · NPI 1811718042

Ludwig Axel Philip Tilly is an Other Technician in Grand Rapids, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2925 Breton Rd SE
Grand Rapids, MI 49512-1745
Phone: (616) 243-4336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1811718042
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 21, 2024
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

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