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
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.