Individual
CHARLES KENNETH TOBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5333 MCAULEY DR RM 4001, YPSILANTI, MI 48197-1099
(734) 712-3980
Mailing address
5333 MCAULEY DR RM 4001, YPSILANTI, MI 48197-1099
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
5151016373
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/15/2024
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