Individual provider · Type 1 NPI

Charles Kenneth Tobin, DO

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

NPI number 1619660099 Active

Practice location

5333 Mcauley Dr Rm 4001
Ypsilanti, MI 48197-1099

Specialties and licenses

TaxonomyCodeLicense
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X5151016373 (MI)
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 1619660099

Charles Kenneth Tobin, DO's National Provider Identifier is 1619660099, issued on May 31, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ypsilanti, MI. The record was last updated on May 15, 2024.