Provider Demographics
NPI:1205834090
Name:TOLSON, ROSEMARIE T (DO)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARIE
Middle Name:T
Last Name:TOLSON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:804 SERVICE RD
Mailing Address - Street 2:STE A235
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-884-2976
Mailing Address - Fax:517-432-3928
Practice Address - Street 1:804 SERVICE RD
Practice Address - Street 2:SUITE A109
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48824-7015
Practice Address - Country:US
Practice Address - Phone:517-355-1300
Practice Address - Fax:517-355-1710
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2021-03-03
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Provider Licenses
StateLicense IDTaxonomies
MI5101014138207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1205834090Medicaid
MI1205834090Medicaid
MIC36088106Medicare PIN