NPI 1164688479
Jacob Robert Tjaden, DO
Practice location
- Address
- 1406 6th Avenue North St. Cloud Hospital, St. Cloud, MN 56303
- Phone
- (320) 251-2700
- Fax
- (320) 229-5109
Registered specialties
Psychiatry Physician
Primary
Registry record
- NPI
- 1164688479
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Aug 2008
- Record last updated
- 18 Mar 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.