Tilstra, David J

Tilstra, David J is an individual health care provider with primary practice located at 1900 Centracare Cir , Saint Cloud MN 56303-5000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Tilstra, David J can be contacted via phone (320) 654-3630.

Contact Information

Primary practice address
1900 Centracare Cir Saint Cloud MN 56303-5000
Phone: (320) 654-3630
Fax: (320) 654-3657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 37920 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37920 Minnesota

Profile Details

NPI number 1316928351
LBN Legal business name Tilstra, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Dec 13th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316928351 NPPES
Other 1008055 PREFERRED ONE
Other 763003 PREFERRED ONE
Other 51A44TI PREFERRED ONE
Other 1200086 PREFERRED ONE
Other 2089340 PREFERRED ONE
Other 7713350 PREFERRED ONE
Other HP25528 PREFERRED ONE
Other 074814500 PREFERRED ONE
Other 110417 PREFERRED ONE

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