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Contact Information

DAVID J TILSTRA, MD
1900 CENTRACARE CIR
SAINT CLOUD, MN56303-5000
 Phone: 320-654-3630
 Fax: 320-654-3657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Genetics (M.D.)

207SG0201X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DAVID J TILSTRA · (Male)

NPI # 1316928351
Status Active
Credentials MD
Entity Individual
Enumeration date 11/08/2005
Last updated 12/13/2011 - About 14 years ago
Sole proprietor 1 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(s) Not Available
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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