Jack Phillip Tomen, M.D. is a student in an organized health care education training program in Detroit, MI. The provider is 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. Jack Phillip Tomen, M.D. NPI is 1972164796. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
SINAI - GRACE HOSPITAL, 6071 OUTER DRIVE W
DEPARTMENT OF MEDICINE - 4 MAIN
DETROIT, MI
ZIP 48235
Phone: (313) 966-1003
Fax: (313) 966-1738
The NPI 1972164796 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/24/2019 and was last updated on 6/24/2019.