Individual
DR. FEDERICO PASCUAL TINSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FAAP
Contact information
Practice address
15765 HOLSTEIN AVENUE, REDLAKE, MN 56671-0497
(218) 679-3912
Mailing address
5743 EARLY PIONEER DR NW, BEMIDJI, MN 56601-5953
(218) 755-9415
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
41254
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508809765
RED LAKE FACILITY NPI
MN
Enumeration date
07/06/2006
Last updated
12/27/2007
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