Individual provider · Type 1 NPI

Justin Patrick Tolbert, MD

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1598103285 Active

Practice location

3990 John R St, Box 162
Detroit, MI 48201-2018

Mailing address

PO Box 4602
Charleston, WV 25364-4602

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1598103285

Justin Patrick Tolbert, MD's National Provider Identifier is 1598103285, issued on Jun 5, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Jun 5, 2013.