Individual
EDWIN M TINGSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 SE BISHOP BLVD STE 120, PULLMAN, WA 99163-5517
(509) 332-2828
Mailing address
2500 W A ST, SUITE 201, MOSCOW, ID 83843-6000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
37180
WA
207X00000X
Orthopaedic Surgery Physician
M8045
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003546
—
WA
05
—
1110857
—
WA
01
—
135969
WA DEPT OF LABOR
WA
05
—
805780700
—
ID
Enumeration date
08/09/2006
Last updated
08/04/2025
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