David J Tilstra
Pediatrician Clinical Genetics (M.D.)
1900 Centracare Cir
Saint Cloud
, Minnesota 56303-5000
David J Tilstra
Pediatrician Clinical Genetics (M.D.)
1900 Centracare Cir
Saint Cloud
, Minnesota 56303-5000
(320) 654-3657
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- David J Tilstra
- 1900 Centracare Cir
- Saint Cloud, MN
- Zip : 56303-5000
- Fax : (320) 654-3657
- Phone : (320) 654-3630
Second Address
- David J Tilstra
- 1900 Centracare Cir
- Saint Cloud, MN
- Zip : 56303-5000
- Fax : (320) 654-3657
- Phone : (320) 654-3630
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FAQs
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Is David J Tilstra a sole practitioner?
Is David J Tilstra accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 37920 | MN |
| N | 208000000X | Pediatrician | 37920 | MN |
National Provider Identifier
| NPI | 1316928351 |
|---|---|
| Provider Name | David J Tilstra |
| First Address | Saint Cloud, MN 56303-5000 |
| Second Address | Saint Cloud, MN 56303-5000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2005 |
| Last Update Date | 13/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 074814500 | MEDICAL ASSISTANCE (01) | |
| 1008055 | PREFERRED ONE (01) | |
| 110417 | UCARE (01) | |
| 1200086 | MEDICA HEALTH PLANS (01) | |
| 2089340 | FIRST HEALTH PLAN (01) | |
| 51A44TI | BLUE CROSS BLUE SHIELD (01) | |
| 763003 | ARAZ GROUP AMERICAS PPO (01) | |
| 7713350 | SOUTH DAKOTA MA (01) | |
| G01924 | (02) | |
| HP25528 | HEALTH PARTNERS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.