Provider Demographics
NPI:1841221892
Name:TINSAY, FEDERICO PASCUAL (MD, FAAP)
Entity type:Individual
Prefix:DR
First Name:FEDERICO
Middle Name:PASCUAL
Last Name:TINSAY
Suffix:
Gender:M
Credentials:MD, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5743 EARLY PIONEER DR NW
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-5953
Mailing Address - Country:US
Mailing Address - Phone:218-755-9415
Mailing Address - Fax:
Practice Address - Street 1:15765 HOLSTEIN AVENUE
Practice Address - Street 2:
Practice Address - City:REDLAKE
Practice Address - State:MN
Practice Address - Zip Code:56671-0497
Practice Address - Country:US
Practice Address - Phone:218-679-3912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN412542080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1508809765OtherRED LAKE FACILITY NPI
MNH46486Medicare UPIN
MN1508809765OtherRED LAKE FACILITY NPI
MN240206Medicare Oscar/Certification