Provider Demographics
NPI:1962683706
Name:TOBIN, MARC JOSEPH (DC, MPAS, PA-C)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:JOSEPH
Last Name:TOBIN
Suffix:
Gender:M
Credentials:DC, MPAS, PA-C
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:6312 S HEATHERRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-3217
Mailing Address - Country:US
Mailing Address - Phone:605-351-2780
Mailing Address - Fax:
Practice Address - Street 1:2501 W 22ND ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1305
Practice Address - Country:US
Practice Address - Phone:605-336-3230
Practice Address - Fax:605-333-5387
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant