Whalio Doctors

NPI 1316928351

David J Tilstra, MD

Practitioner Clinical Genetics (M.D.) Physician Saint Cloud, MN

Practice location

Address
1900 Centracare Cir, Saint Cloud, MN 56303-5000
Phone
(320) 654-3630
Fax
(320) 654-3657

Registered specialties (2)

Clinical Genetics (M.D.) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 37920 (MN)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 37920 (MN)

Registry record

NPI
1316928351
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Nov 2005
Record last updated
13 Dec 2011

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.