Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID J TILSTRA, MD
ActiveGeriatric Psychiatry · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1316928351
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2005 (20.451421563409 yrs)
- Last Updated
- Dec 13, 2011
- Licenses
-
37920 (MN)37920 (MN)
Practice Information
- Address
-
1900 CENTRACARE CIRSAINT CLOUD, MN, 563035000Browse MN providers · Browse ZIP 56303
- Phone
- 3206543630
- Fax
- 3206543657
- Primary Specialty
-
Geriatric Psychiatry
207SG0201X
- Additional Specialty
- Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.