Individual provider · Type 1 NPI
David J. Tilstra, MD
Clinical Genetics (M.D.) Physician · St. Cloud, MN
NPI number
1316928351
Active
Practice location
1900 Centracare Cir
St. Cloud, MN 56303-5000
Fax (320) 654-3657
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Genetics (M.D.) Physician Primary | 207SG0201X | 37920 (MN) |
| Pediatrics Physician | 208000000X | 37920 (MN) |
Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
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About NPI 1316928351
David J. Tilstra, MD's National Provider Identifier is 1316928351, issued on Nov 8, 2005. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in St. Cloud, MN. The record was last updated on Dec 13, 2011.