National Provider Identifier Database

DAVID J TILSTRA, MD – NPI #1316928351
Clinical Genetics (M.D.)

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Contact Information

DAVID J TILSTRA, MD
1900 CENTRACARE CIR
SAINT CLOUD, MN  56303-5000
Phone: 320-654-3630
Fax: 320-654-3657
Website:
Specialty Taxonomy Code
* Clinical Genetics (M.D.) 207SG0201X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for DAVID J TILSTRA

NPI Number 1316928351
Credentials MD
Entity Individual
Enumeration date 11/08/2005
Last updated 12/13/2011 - About 14 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 37920
  • Other: 763003 ARAZ GROUP AMERICAS PPO
  • Other: 51A44TI BLUE CROSS BLUE SHIELD
  • Other: 2089340 FIRST HEALTH PLAN
  • Other: HP25528 HEALTH PARTNERS
  • Other: 1200086 MEDICA HEALTH PLANS
  • Other: 074814500 MEDICAL ASSISTANCE
  • Other: 1008055 PREFERRED ONE
  • Other: 7713350 SOUTH DAKOTA MA
  • Other: 110417 UCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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