Individual
DR. MARK TSIBULSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701
(218) 683-4351
(218) 683-4362
Mailing address
120 LABREE AVE S, NORTHWEST MEDICAL CENTER MENTAL HEALTH DIVISION, THIEF RIVER FALLS, MN 56701
(218) 683-4351
(218) 683-4362
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42279
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
482402400
—
MN
Enumeration date
05/04/2006
Last updated
03/17/2014
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